Evaluation of the effect of propofol and desflurane on intracranial pressure in patients undergoing gynecological laparoscopic surgery based on the ratio of diameter of optic nerve sheath to transverse diameter of eyeball
10.12092/j.issn.1009-2501.2022.12.011
- Author:
Xin ZHAO
1
;
Ding LI
1
;
Anshi WU
1
Author Information
1. Department of Anesthesiology, Beijing Chaoyang Hospital, Capital Medical University
- Publication Type:Journal Article
- Keywords:
desflurane;
eyeball transverse diameter;
intracranial pressure;
optic nerve sheath diameter;
propofol
- From:
Chinese Journal of Clinical Pharmacology and Therapeutics
2022;27(12):1408-1413
- CountryChina
- Language:Chinese
-
Abstract:
AIM: To evaluate the effects of propofol and desflurane on intracranial pressure in patients undergoing gynecological laparoscopic surgery by measuring the ratio of optic nerve sheath diameter (ONSD) to transverse diameter of the eye (ETD). METHODS: Forty patients, scheduled for elective gynecological endoscopic surgery, were randomly divided into propofol group (group P) and desflurane group (group D) (n b 20). Anesthesia maintenance: propofol was injected intravenously in group P, desflurane was inhaled in group D. Remifentanil was injected intravenously and rocuronium was added on schedule. The patients were mechanically ventilated in volume-controlled mode. ETD was recorded after induction of anesthesia. ONSD, HR, MAP, peak airway pressure (Ppeak) and P