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Journals / Türk Anestezi ve Reanimasyon Dergisi / 2009 / Cilt: 37 - Sayı: 1

Anesthetic management and prognosis in aortic reconstruction surgery done with selective cerebral perfusion method

Selektif serebral perfüzyon uygulanan aortik ark cerrahisi olgularında anestezi yönetimi ve prognozun geriye dönük değerlendirilmesi

Aslı DEMİR
Hakan EKE
Hija YAZICIOĞLU
Mahmut ULAŞ
Özcan ERDEMLİ
Ümit KARADENİZ
Pages
17–24
Publication Date
2022-11-05
DOI
—
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

For left and right hemisphere value comparison Wilcoxon Rank test was used. p

📌 3 Key Takeaways

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Objective & Hypothesis:Introduction: This retrospective study was planned to analyse and report the patient characteristics, operative findings, intraoperative surgical and anesthetic management, intraoperative spectral edge frequency (SEF) values determined from EEG, postoperative inotrophic support and the complications in aortic reconstructive surgery (ARS) cases done with moderate hypothermia and antegrad selective cerebral perfusion (SCP) method.Material and Method: Twenty six patients whom we were able to reach their medical records completely, out of 150 patients, who had ARS done with SCP method in 2006, were retrospectively examined.
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Key Findings & Data:SEF data determined from intraoperative EEG, were examined following induction of anaesthesia (1), early after CPB (2), during SCP period (3), X-clamp removal (4) and during sternum wiring (5).
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Conclusion & Impact:For left and right hemisphere value comparison Wilcoxon Rank test was used. p
🔬Design:Research Article
📍Scope:2006 Verileri
⚙️Variables:Domain Parameters

Abstract

Introduction: This retrospective study was planned to analyse and report the patient characteristics, operative findings, intraoperative surgical and anesthetic management, intraoperative spectral edge frequency (SEF) values determined from EEG, postoperative inotrophic support and the complications in aortic reconstructive surgery (ARS) cases done with moderate hypothermia and antegrad selective cerebral perfusion (SCP) method.Material and Method: Twenty six patients whom we were able to reach their medical records completely, out of 150 patients, who had ARS done with SCP method in 2006, were retrospectively examined. Patients’ demographic data, co-existent disease, cardiopulmonary by-pass, SCP and operation periods and length of ICU and hospital stay, postoperative neurologic outcome & other complications were recorded. SEF data determined from intraoperative EEG, were examined following induction of anaesthesia (1), early after CPB (2), during SCP period (3), X-clamp removal (4) and during sternum wiring (5). Statistical analysis included Friedman’s two-way analysis of variance and Siegel N and Castellan J multiple comparison tests. For left and right hemisphere value comparison Wilcoxon Rank test was used. p

Özet

Amaç: Bu makalede, orta dereceli hipotermiyle antegrad selektif serebral perfüzyon (SSP) uygulanan aortik ark cerrahisinde hastalara ve operasyona ait özellikler, anestezi yaklaşımı, operasyon süresince kullanılan EEG’de “spectral edge frequency” (SEF) değerleri izlemi, cerrahi sonrası yoğun bakımda uygulanan destek tedavileri ve gelişen komplikasyonların sunulması amaçlandı.Gereç ve Yöntem: 2006 yılında kalp cerrahisi tarafından antegrad SSP-orta dereceli hipotermi ile sirkulatuvar arrest uygulanan 150 hastadan, tüm verilerine ulaşılabilen 26 hasta retrospektif olarak incelendi. Olguların bireysel özellikleri, yandaş hastalıkları, kardiyopulmoner baypas (KPB), antegrad selektif serebral perfüzyon, operasyon, yoğun bakım ve hastanede kalış süreleri, yoğun bakım destek tedavileri, postoperatif nörolojik bulgular ve gelişen komplikasyonlar kaydedildi. Hastaların EEG’ lerinde SEF ölçümleri, anestezi indüksiyonu sonrası (1), pompa başlangıcından sonra (2), selektif serebral perfüzyonda (3), aortik kros-klemp açıldıktan sonra (4) ve sternuma tel konulması sırasında (5) değerlendirildi. İstatistiksel analizde zamanlar arası karşılaştırmada Friedman’ın iki yönlü varyans analizi ve ona bağlı olarak Siegel N. ve Castellan J. tarafından önerilen çoklu karşılaştırma testi kullanıldı. Sağ-sol hemisfer karşılaştırmaları için eşleştirilmiş örneklerde Wilcoxon testi kullanıldı. p

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Cite This Article

DEMİR, A., EKE, H., YAZICIOĞLU, H., ULAŞ, M., ERDEMLİ, Ö., KARADENİZ, Ü. (2022). Anesthetic management and prognosis in aortic reconstruction surgery done with selective cerebral perfusion method. Türk Anestezi ve Reanimasyon Dergisi, Cilt: 37 - Sayı: 1, 17–24. https://ajindex.com/articles/619935

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