Monitoring of Cerebral and Spinal Haemodynamics during Neurosurgery

Transcription

1 Monitoring of Cerebral and Spinal Haemodynamics during Neurosurgery Bearbeitet von Georg E Cold, Niels Juul 1. Auflage Buch. XX, 332 S. Hardcover ISBN Format (B x L): 15,5 x 23,5 cm Gewicht: 689 g Weitere Fachgebiete > Medizin > Sonstige Medizinische Fachgebiete > Anästhesiologie Zu Leseprobe schnell und portofrei erhältlich bei Die Online-Fachbuchhandlung beck-shop.de ist spezialisiert auf Fachbücher, insbesondere Recht, Steuern und Wirtschaft. Im Sortiment finden Sie alle Medien (Bücher, Zeitschriften, CDs, ebooks, etc.) aller Verlage. Ergänzt wird das Programm durch Services wie Neuerscheinungsdienst oder Zusammenstellungen von Büchern zu Sonderpreisen. Der Shop führt mehr als 8 Millionen Produkte.

2 Content 1 Monitoring of Intracranial Pressure (ICP): A Review Normal Intracranial Pressure Values Regional Differences in Intracranial Pressure Animal Studies Human Studies Pressure/Volume Relationship Pressure Waves Critical Levels of Intracranial Pressure Experimental Studies Human Studies Intracranial Pressure: Impact on Mortality Intracranial Pressure After Intracranial Surgery Approaches to Control of Intracranial Hypertension Control of Cerebral Blood Volume and Intracranial Pressure Head Elevation Reverse Trendelenburg Position Head Flexion, Rotation and Tilting Central Venous Pressure, Intraabdominal Pressure and Body Position Endotracheal Suction and Tracheotomy Positive End-Expiratory Pressure and Continuous Positive Airway Pressure Dihydroergotamine (DHE) The Lund Model Hyperventilation (HV) Cerebral Blood Flow, Cerebral Blood Volume and Intracranial Pressure Steal and Inverse Steal Phenomenon Bohr Effect Risk of Ischaemia Adaptation to Prolonged Hyperventilation Hyperventilation in Premature, Neonates and Paediatric Patients Hyperventilation as a Lifesaving Procedure... 19

3 X Content Guidelines Indomethacin Experimental Studies Human Studies Metabolic Control of Cerebral Blood Flow Hypothermia Experimental Studies Clinical Studies Guidelines Hypnotic Agents Vasodilatation Cerebral Metabolic Rate of Oxygen Sedation Intracranial Hypertension Guidelines Analgesics Spontaneous Ventilation Controlled Ventilation Sufentanil, Alfentanil Muscular Relaxation Osmotic-Acting Drugs, Plasma Expanders and Diuretics Electrolytes and Proteins and the Blood-Brain Barrier (BBB) Hydroxyethyl Starch and Hyperosmolar/ Hyperoncotic Solutions Mannitol Osmotic Gradient Experimental Studies Human Studies Mannitol in Acute Head Injury Mannitol in Cerebral Infarct Mannitol and the Blood-Brain Barrier Rebound Phenomenon Guidelines Glycerol Hypertonic Saline Experimental Studies; Central Haemodynamics Intracranial Pressure, Cerebral Blood Flow and Blood-Brain Barrier Comparative Studies Between Hypertonic Saline and Mannitol Human Studies Furosemide Corticosteroids References Material Included in the Database Diagnosis of Tumour, Localization of Cerebral Aneurysm and Hunt and Hess Gradation Anaesthesia... 61

4 Content XI 2.3 Intracranial Pressure-Reducing Procedures Discussion References Method Neuroradiological Examination in Patients with Cerebral Tumours Localization of Aneurysm and Hunt and Hess Gradation Anaesthesia and Monitoring Group 1: Propofol-Fentanyl Group 2: Isoflurane-Fentanyl Group 3: Sevoflurane-Fentanyl Group 4: Propofol-Remifentanil Fluid Administration and Regulation of Blood Pressure Subdural Intracranial Pressure and Cerebral Perfusion Pressure Catheterization of the Internal Jugular Vein and Blood Gas Analyses Measurement of Cerebral Blood Flow and Cerebral Metabolic Rate of Oxygen Measurement of Flow Velocity Effect of Hyperventilation and Indomethacin Estimation of Dural Tension and Cerebral Swelling Measurement of Intracranial Pressure During Tilting of the Operating Table Comparative Studies of Intracranial Pressure-Reducing Methods Hyperventilation Ten Degrees Reverse Trendelenburg Position Mannitol Treatment Indomethacin Surgical Decompression Studies of the Effect of Central Analgetics in Patients with Cerebral Tumours Studies of Propofol Bolus Dose Patients Subjected to Controlled Studies Statistical Analysis References Comparative Studies of Intracranial Pressure in Patients With and Without Space-Occupying Lesions Study Outline Discussion References Studies of Regional Subdural Pressure Gradients During Craniotomy Study 1: Studies of Pressure Gradients Between Subdural Intracranial Pressure and Pressures Within the Neuroaxis, Including Intraventricular Pressure and Lumbar Spinal Pressure... 91

5 XII Content Study 2: Subdural Intracranial Pressure Gradients Within the Supratentorial Surgical Field Study 3: Subdural Intracranial Pressure Gradients Within the Surgical Field in Infratentorial Surgery Study 4: Changes in Subdural Intracranial Pressure During Opening of Dura Discussion References Subdural Intracranial Pressure and Degree of Swelling After Opening of Dura in Patients with Supratentorial Tumours Study 1: Subdural Monitoring of ICP During Craniotomy: Thresholds of Cerebral Swelling/Herniation Study 2: Craniotomy for Supratentorial Brain Tumours: Risk Factors for Brain Swelling After Opening of Dura Mater Discussion References Subdural Intracranial Pressure, Cerebral Haemodynamics, Dural Tension and Degree of Swelling After Opening of Dura in Patients with Infratentorial Tumours Study 1: The Relationship Between Intracranial Pressure and the Degree of Brain Swelling in Patients Subjected to Infratentorial Surgery Study 2: Patients Subjected to Craniotomy for Occipital Tumours with Special Reference to Position Discussion References Subdural Intracranial Pressure During General Anaesthesia for Craniotomy in Patients with Supratentorial Cerebral Tumours Study 1: Subdural Intracranial Pressure and Cerebral Haemodynamics in Patients with Supratentorial Cerebral Tumours Randomized to Either Propofol-Fentanyl, Isoflurane-Fentanyl or Sevoflurane-Fentanyl Anaesthesia Study 2: Subdural Intracranial Pressure and Cerebral Haemodynamics in Patients Operated on in the Supine Position for Supratentorial Glioblastoma, Meningioma and Metastasis Study 3: Studies of Subdural Intracranial Pressure and Jugular Bulb Pressure in Patients with Supratentorial Tumours Anaesthetized with Propofol-Fentanyl or Propofol-Remifentanil Discussion References

6 Content XIII 9 Effect of Sevoflurane on Subdural Intracranial Pressure and Cerebral Haemodynamics During Craniotomy Effect of Sevoflurane on Intracranial Pressure, Cerebral Blood Flow and Cerebral Metabolism Discussion References Effect of Hyperventilation on Subdural Intracranial Pressure Study 1: Comparative Study of the Effect of Hyperventilation During Propofol-Fentanyl, Isoflurane-Fentanyl and Sevoflurane- Fentanyl Anaesthesia on Cerebral Haemodynamics Study 2: Comparative Study of the Effect of Hyperventilation During Propofol-Fentanyl and Propofol-Remifentanil Anaesthesia on Cerebral Haemodynamics Study 3: Is It Possible to Reduce Subdural Intracranial Pressure Below 10 mmhg by Hyperventilation Eventually Supplemented with Mannitol Treatment? Discussion References Effect of Indomethacin on Subdural Intracranial Pressure and Cerebral Haemodynamics Study 1: Effect of Perioperative Indomethacin on Intracranial Pressure, Cerebral Blood Flow and Cerebral Metabolism in Patients Subjected to Craniotomy for Cerebral Tumours Study 2: Effect of Indomethacin on Intracranial Pressure and Cerebral Haemodynamics in Patients Undergoing Craniotomy: A Randomized Prospective Study Discussion References Effect of Dihydroergotamine on Subdural Intracranial Pressure and Cerebral Haemodynamics Effect of Dihydroergotamine on Intracranial Pressure, Cerebral Blood Flow and Cerebral Metabolism in Patients Undergoing Craniotomy for Brain Tumours Discussion References Effect of a Bolus Dose of an Analgetic on Subdural Intracranial Pressure and Cerebral Haemodynamics During General Anaesthesia for Craniotomy in Patients with Supratentorial Cerebral Tumours Study 1: Effect of Alfentanil on Subdural Intracranial Pressure, Cerebral Haemodynamics and CO2 Reactivity During Propofol-Fentanyl Anaesthesia in Patients Subjected to Craniotomy for Supratentorial Cerebral Tumours

7 XIV Content Study 2: Effect of a Bolus Dose of Remifentanil on Cerebral Haemodynamics During Propofol-Remifentanil Anaesthesia in Patients Subjected to Craniotomy for Supratentorial Cerebral Tumours Study 3: Effect of a Bolus Dose of Fentanyl on Cerebral Haemodynamics During Propofol-Fentanyl Anaesthesia in Patients Subjected to Craniotomy for Supratentorial Cerebral Tumours Discussion References Effect of a Propofol Bolus Dose on Subdural Intracranial Pressure and Cerebral Haemodynamics During General Anaesthesia for Craniotomy in Patients with Supratentorial Cerebral Tumours Study 1: Effect of a Propofol Bolus Dose on Subdural Intracranial Pressure and Cerebral Haemodynamics in Patients Subjected to Craniotomy for Supratentorial Cerebral Tumours in Propofol-Remifentanil Anaesthesia Study 2: Effect of a Propofol Bolus Dose on Subdural Intracranial Pressure and Cerebral Haemodynamics in Patients Subjected to Craniotomy for Supratentorial Cerebral Tumours in Propofol-Fentanyl Anaesthesia Discussion References Effect of Reverse Trendelenburg Position on Subdural Intracranial Pressure and Cerebral Haemodynamics During General Anaesthesia for Craniotomy in Patients with Supratentorial Cerebral Tumours Study 1: The Intracranial Pressure-Lowering Effect of 10 Degrees Reverse Trendelenburg Position During Craniotomy is Stable During a 10-Minute Period Study 2: Effect of 10 Degrees Reverse Trendelenburg Position on Intracranial Pressure and Cerebral Perfusion Pressure in Prone-Positioned Patients Subjected to Craniotomy for Occipital or Cerebellar Tumours Study 3: Optimal Reverse Trendelenburg Position in Patients Undergoing Craniotomy for Cerebral Tumours Study 4: Effect of Reverse Trendelenburg Position on Intracranial Pressure and Cerebral Perfusion Pressure in Patients with Cerebral Tumours. A Comparative Study of Propofol-Fentanyl and Propofol-Remifentanil Anaesthesia Discussion References

8 Content XV 16 Effect of Evacuation of Cerebral Cysts on Subdural Intracranial Pressure and Cerebral Perfusion Pressure Study Outline Discussion References Comparative Studies of Therapeutic Measures to Reduce Subdural Intracranial Pressure During Craniotomy Study 1: A Comparative Study of the Intracranial Pressure-Reducing Effect of Hyperventilation, 10 Degrees Reverse Trendelenburg Position, Mannitol Treatment, Indomethacin or Surgical Decompression in Patients with Intracranial Hypertension Subjected to Craniotomy for Supratentorial Cerebral Tumours in Propofol-Fentanyl Anaesthesia Study 2: A Comparative Clinical Study of the Intracranial Pressure-Reducing Effect of 10 Degrees Reverse Trendelenburg Position and Hyperventilation in Patients Subjected to Supratentorial Craniotomy for Cerebral Tumours in Propofol-Remifentanil Anaesthesia Study 3: A Comparative Study of the Intracranial Pressure- Reducing Effect of 10 Degrees Reverse Trendelenburg Position, Hyperventilation, Indomethacin and Surgical Drainage in Patients Undergoing Fossa Posterior Surgery in the Prone Position Discussion References Effect of Positive End-Expiratory Pressure on Subdural Intracranial Pressure in Patients Undergoing Supratentorial Craniotomy Study 1: Effect of 5 cmh2o Positive End-Expiratory Pressure on Subdural Intracranial Pressure, Cerebral Perfusion Pressure and Jugular Bulb Pressure Study 2: Effect of 10 cmh2o Positive End-Expiratory Pressure on Subdural Intracranial Pressure, Cerebral Perfusion Pressure and Jugular Bulb Pressure Discussion References Subdural Intracranial Pressure and Cerebral Haemodynamics During General Anaesthesia for Craniotomy in Patients with Cerebral Aneurysm Study 1: Comparative Study of Subdural Intracranial Pressure and Cerebral Perfusion Pressure in Patients with Cerebral Aneurysm Anaesthetized with Either Propofol-Fentanyl or Isoflurane-Fentanyl

9 XVI Content Study 2: Effect of 10 Degrees Reverse Trendelenburg Position on Subdural Intracranial Pressure and Cerebral Perfusion Pressure in Patients Subjected to Craniotomy for Cerebral Aneurysm Discussion References Subdural Intracranial Pressure in Children Study 1: Subdural Intracranial Pressure, Cerebral Perfusion Pressure and Degree of Cerebral Swelling in Supraand Infratentorial Space-Occupying Lesions in Children Study 2: Effect of Reverse Trendelenburg Position on Subdural Intracranial Pressure in Children During Craniotomy Discussion References Subdural Spinal Pressure During Surgery for Intradural Tumours and Surgery for Tethered Cord Study Outline Discussion References Studies of Jugular Pressure Study 1: Neck Compression and Jugular Bulb Pressure in Patients Subjected to Craniotomy Study 2: Studies of Jugular Bulb Pressure During Craniectomy in the Sitting Position Discussion References Differences in PCO2, ph, Lactate, K + and Na + Between Arterial Blood and Jugular Bulb Blood in Patients Subjected to Craniotomy in Either Propofol-Fentanyl or Propofol-Remifentanil Anaesthesia Study Outline Discussion References Limitations and Complications Connected with Monitoring of Subdural Intracranial Pressure and Insertion of Jugular Catheter Study Outline Discussion References Subject Index