Noninvasive intracranial pressure real-time waveform analysis monitor during prostatectomy robotic surgery and Trendelenburg position: case report

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art_SABA_Noninvasive_intracranial_pressure_realtime_waveform_analysis_monitor_during_2021.PDF (720.64 KB)
Citações na Scopus
5
Tipo de produção
article
Data de publicação
2021
DOI
SciELO
Scopus
Web of Science
Título da Revista
ISSN da Revista
Título do Volume
Editora
Sociedade Brasileira de Anestesiologia (SBA)
Autores
VILELA, Gustavo Henrique Frigieri
Citação
BRAZILIAN JOURNAL OF ANESTHESIOLOGY, v.71, n.6, p.656-659, 2021
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Abstract Both robotic surgery and head-down tilt increase intracranial pressure by impairing venous blood outflow. Prostatectomy is commonly performed in elderly patients, who are more likely to develop postoperative cognitive disorders. Therefore, increased intracranial pressure could play an essential role in cognitive decline after surgery. We describe a case of a 69-year-old male who underwent a robotic prostatectomy. Noninvasive Brain4care™ intraoperative monitoring showed normal intracranial compliance during anesthesia induction, but it rapidly decreased after head-down tilt despite normal vital signs, low lung pressure, and adequate anesthesia depth. We conclude that there is a need for intraoperative intracranial compliance monitoring since there are major changes in cerebral compliance during surgery, which could potentially allow early identification and treatment of impaired cerebral complacency.
Palavras-chave
Head-down tilt, Intracranial pressure, Robotic surgical procedures
URI
https://observatorio.fm.usp.br/handle/OPI/44821
Referências
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  2. Vilela GHF, 2016, ACTA NEUROCHIR SUPPL, V122, P97, DOI 10.1007/978-3-319-22533-3_19
  3. Kirk T, 2011, ANN NEUROL, V70, P323, DOI 10.1002/ana.22414
  4. Lashutka MK, 2004, ANN EMERG MED, V43, P585, DOI 10.1016/j.annemergmed.2003.12.006
  5. Mascarenhas Sergio, 2012, Acta Neurochir Suppl, V114, P117, DOI 10.1007/978-3-7091-0956-4_21
  6. Rosenthal RJ, 1997, SURG ENDOSC, V11, P376, DOI 10.1007/s004649900367

Coleções
Artigos e Materiais de Revistas Científicas - FM/MCG
Artigos e Materiais de Revistas Científicas - HC/ICESP
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - HC/ICr
Artigos e Materiais de Revistas Científicas - HC/InCor
Artigos e Materiais de Revistas Científicas - LIM/08
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