Title:

Application of cerebral oxygen saturation measurement to optimise general anaesthesia during major surgical interventions within abdominal cavity

Author:

Składzień, Tomasz

Subject:

cerebral oximetry ; near infrared spectroscopy ; regional tissue oxygenation ; epidural anaesthesia ; abdominal surgery

Abstract:

Introduction Numerous publications indicate that near infrared spectroscopy is clinically applied to determine the local oxygenation.Objectives Evaluation of the incidence of cerebral desaturation during anaesthesia in the patients during major surgical procedures pursued within abdominal cavity. Materials and methods The study covered 101 consecutive, non-randomised patients aged 35 - 84 years (mean age: 63.64 ± 10.42), hospitalised in the Department of General Surgery, Oncology and Gastroenterology, Jagiellonian University School of Medicine, referred to major surgical intervention within abdominal cavity.Results In 14 (13.9%) out of 101 patients who underwent surgical intervention a clinically significant reduction in cerebral oxygen saturation was noted.In 50 (49.5%) of them, apart from general anaesthesia,epidural anaesthesia was also used. Nine of them experienced a clinically significant reduction in cerebral oxygen saturation. There was no statistically significant correlation between the application of epidural anaesthesia and the incidence of cerebral desaturation.Conclusions 1. During major surgical procedures pursued within abdominal cavity the reduction of cerebral oxygen saturation occurred relatively frequently (in 13.9 % of patients), whereas an improvement of cerebral oxygen saturation could well be achieved through pharmacotherapy.2. The application of epidural anaesthesia did not result in a clinically significant reduction in cerebral oxygen saturation during general anaesthesia administered at any major surgical procedures pursued within abdominal cavity.

Place of publishing:

Kraków

Level of degree:

2 - studia doktoranckie

Degree discipline:

anestezjologia ; chirurgia

Degree grantor:

Uniwersytet Jagielloński. Collegium Medicum. Wydział Lekarski.

Promoter:

Janusz Andres

Date:

2014

Date issued:

2014

Type:

Praca doktorska

Format:

application/pdf

Call number:

ZB-122319

ControlNumberVIRTUA:

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Language:

pol

Access rights:

nieograniczony

Location of original object:

Biblioteka Medyczna Uniwersytetu Jagiellońskiego- Collegium Medicum

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