Research Article
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Year 2019, Volume: 5 Issue: 2, 335 - 340, 04.03.2019
https://doi.org/10.18621/eurj.371777

Abstract

References

  • [1] Moerman AT, De Hert SG, Jacobs TF, De Wilde LF, Wouters PF. Cerebral oxygen desaturation during beach chair position. Eur J Anaesthesiol 2012;29:82-7.
  • [2] Steppan J, Hogue CW Jr. Cerebral and tissue oximetry. Best Pract Res Clin Anaesthesiol 2014;28:429-39.
  • [3] Madsen PL, Secher NH. Near-infrared oximetry of the brain. Prog Neurobiol 1999;58:541-60.
  • [4] Babakhani B, Heroabadi A, Hosseinitabatabaei N, Schott M, Yekaninejad S, Jantzen JP, et al. Cerebral oxygenation under general anesthesia can be safely preserved in patients in prone position: a prospective observational study. J Neurosurg Anesthesiol 2017;29:291-7.
  • [5] Pollard V, Prough DS, DeMelo AE, Deyo DJ, Uchida T, Widman R. The influence of carbon dioxide and body position on near-infrared spectroscopic assessment of cerebral hemoglobin oxygen saturation. Anesth Analg 1996;82:278-87.
  • [6] Macnab AJ, Gagnon RE, Gagnon FA, LeBlanc JG. NIRS monitoring of brain and spinal cord detection of adverse intraoperative events. Spectroscopy 2003;17:483-90.
  • [7] Toraman F, Özgen SU, Aritürk C, Sayın J, Erkek E, Güçlü P, et al. [Is it efficient to use NIRS to calculate hepatic and renal oxygen saturation during extracorporeal circulation?]. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2012;3:164-9. [Article in Turkish]
  • [8] Murkin JM, Arango M. Near-infrared spectroscopy as an index of brain and tissue oxygenation. Br J Anaesth 2009;103 Suppl 1:i3-13.
  • [9] Macnab AJ, Gagnon RE, Gagnon FA. Near infrared spectroscopy for intraoperative monitoring of the spinal cord. Spine 2002;27;17-20.
  • [10] Trafidło T, Gaszyński T, Gaszyński W, Nowakowska-Domagała K. Intraoperative monitoring of cerebral NIRS oximetry leads to better postoperative cognitive performance: a pilot study. Int J Surg 2015;16(PtA):23-30.
  • [11] Meng L, Cannesson M, Alexander BS, Yu Z, Kain ZN, Cerussi AE, et al. Effect of phenylephrine and ephedrine bolus treatment on cerebral oxygenation in anaesthetized patients. Br J Anaesth 2011;107:209-17.
  • [12] Badia JR, Sala E, Rodriguez-Roisin R. Positional changes and drug interventions in acute respiratory failure. Respirology 1998;3:103-6.
  • [13] Edgcombe H, Carter K, Yarrow S. Anaesthesia in the prone position. Br J Anaesth 2008;100:165-83.
  • [14] Yokoyama M, Ueda W, Hirakawa M, Yamamoto H. Hemodynamic effect of the prone position during anesthesia. Acta Anaesthesiol Scand 1991;35:741-4.
  • [15] Sudheer PS, Logan SW, Ateleanu B, Hall JE. Haemodynamic effects of the prone position: a comparison of propofol total intravenous and inhalation anaesthesia. Anaesthesia 2006;61:138-41.
  • [16] Poon KS, Wu KC, Chen CC, Fung ST, Lau AW, Huang CC, et al. Hemodynamic changes during spinal surgery in the prone position. Acta Anaesthesiol Taiwan 2008;46:57-60.
  • [17] Park CK. The effect of patient positioning on intraabdominal pressure and blood loss in spinal surgery.Anesth Analg 2000;91:552-7.

Comparison of spinal and cerebral oxygen saturation with near-infrared spectroscopy method during spinal surgery in prone position

Year 2019, Volume: 5 Issue: 2, 335 - 340, 04.03.2019
https://doi.org/10.18621/eurj.371777

Abstract

Objectives: To assess spinal and cerebral oxygenation with near-infrared spectroscopy method during spinal surgery in prone position.

Methods: This prospective study included 64 patients, who were
prepared for posterior spinal instrumentation and laminectomy surgeries. Group
1: 31 patients who had posterior spinal instrumentation; Group 2: 33 patients
who had at least two levels of disk operation (Laminectomy). The following were
recorded for all patients before and after anesthesia induction in supine
position, after induction in prone position, during operation (beginning,
middle and end of surgery) in prone position and before waking up in supine
position: cerebral oxygen saturation (NIRSs) measurements, spinal oxygen
saturation (NIRSp) measurements, peripheral oxygen saturation (SpO2),
heart rate (HR), invasively monitored systolic arterial pressure (SAP),
diastolic arterial pressure (DAP), mean arterial pressure (MAP) values.

Results: There was no significant difference between two groups
in terms of the variables of age, weight, anesthesia and surgery duration (p > 0.05). MAP values were
significantly different in both groups before induction, during operation and
postoperative periods (p < 0.05).
NIRSs were significantly lower at mid-operation and at the end of operation
(p < 0.05). NIRSp values had no significant difference in any period (p > 0.05). We found no significant
difference between groups in HR, SAP, DAP, MAP, NIRSs and NIRSp parameters (p > 0.05) compared at different times.







Conclusions:
MAP dropped depending on induction and prone position. Cerebral oxygenation significantly
decreased at the time of mid-operation and at the end of operation but spinal
oxygenation had no significant decresase. Compared to laminectomy, posterior
stabilization surgery did not pose an additional risk to the patients in terms of
spinal and oxygen saturation. 

References

  • [1] Moerman AT, De Hert SG, Jacobs TF, De Wilde LF, Wouters PF. Cerebral oxygen desaturation during beach chair position. Eur J Anaesthesiol 2012;29:82-7.
  • [2] Steppan J, Hogue CW Jr. Cerebral and tissue oximetry. Best Pract Res Clin Anaesthesiol 2014;28:429-39.
  • [3] Madsen PL, Secher NH. Near-infrared oximetry of the brain. Prog Neurobiol 1999;58:541-60.
  • [4] Babakhani B, Heroabadi A, Hosseinitabatabaei N, Schott M, Yekaninejad S, Jantzen JP, et al. Cerebral oxygenation under general anesthesia can be safely preserved in patients in prone position: a prospective observational study. J Neurosurg Anesthesiol 2017;29:291-7.
  • [5] Pollard V, Prough DS, DeMelo AE, Deyo DJ, Uchida T, Widman R. The influence of carbon dioxide and body position on near-infrared spectroscopic assessment of cerebral hemoglobin oxygen saturation. Anesth Analg 1996;82:278-87.
  • [6] Macnab AJ, Gagnon RE, Gagnon FA, LeBlanc JG. NIRS monitoring of brain and spinal cord detection of adverse intraoperative events. Spectroscopy 2003;17:483-90.
  • [7] Toraman F, Özgen SU, Aritürk C, Sayın J, Erkek E, Güçlü P, et al. [Is it efficient to use NIRS to calculate hepatic and renal oxygen saturation during extracorporeal circulation?]. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2012;3:164-9. [Article in Turkish]
  • [8] Murkin JM, Arango M. Near-infrared spectroscopy as an index of brain and tissue oxygenation. Br J Anaesth 2009;103 Suppl 1:i3-13.
  • [9] Macnab AJ, Gagnon RE, Gagnon FA. Near infrared spectroscopy for intraoperative monitoring of the spinal cord. Spine 2002;27;17-20.
  • [10] Trafidło T, Gaszyński T, Gaszyński W, Nowakowska-Domagała K. Intraoperative monitoring of cerebral NIRS oximetry leads to better postoperative cognitive performance: a pilot study. Int J Surg 2015;16(PtA):23-30.
  • [11] Meng L, Cannesson M, Alexander BS, Yu Z, Kain ZN, Cerussi AE, et al. Effect of phenylephrine and ephedrine bolus treatment on cerebral oxygenation in anaesthetized patients. Br J Anaesth 2011;107:209-17.
  • [12] Badia JR, Sala E, Rodriguez-Roisin R. Positional changes and drug interventions in acute respiratory failure. Respirology 1998;3:103-6.
  • [13] Edgcombe H, Carter K, Yarrow S. Anaesthesia in the prone position. Br J Anaesth 2008;100:165-83.
  • [14] Yokoyama M, Ueda W, Hirakawa M, Yamamoto H. Hemodynamic effect of the prone position during anesthesia. Acta Anaesthesiol Scand 1991;35:741-4.
  • [15] Sudheer PS, Logan SW, Ateleanu B, Hall JE. Haemodynamic effects of the prone position: a comparison of propofol total intravenous and inhalation anaesthesia. Anaesthesia 2006;61:138-41.
  • [16] Poon KS, Wu KC, Chen CC, Fung ST, Lau AW, Huang CC, et al. Hemodynamic changes during spinal surgery in the prone position. Acta Anaesthesiol Taiwan 2008;46:57-60.
  • [17] Park CK. The effect of patient positioning on intraabdominal pressure and blood loss in spinal surgery.Anesth Analg 2000;91:552-7.
There are 17 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Articles
Authors

Gönül Tezcan Keleş 0000-0002-6879-5124

Arzu Açıkel 0000-0002-6246-9731

İsmet Topçu 0000-0002-2783-2865

Cüneyt Temiz 0000-0002-9479-1426

Publication Date March 4, 2019
Submission Date December 27, 2017
Acceptance Date June 21, 2018
Published in Issue Year 2019 Volume: 5 Issue: 2

Cite

AMA Tezcan Keleş G, Açıkel A, Topçu İ, Temiz C. Comparison of spinal and cerebral oxygen saturation with near-infrared spectroscopy method during spinal surgery in prone position. Eur Res J. March 2019;5(2):335-340. doi:10.18621/eurj.371777

e-ISSN: 2149-3189 


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