Effects of desflurane on cerebrospinal fluid pressure and blood flow velocity in the middle cerebral artery in patients undergoing craniotomy
- VernacularTitle:地氟醚对颅脑手术病人脑脊液压力及大脑中动脉血流速度的影响
- Author:
Jingsong CAI
;
Zhenming DONG
;
Junxia ZHAI
- Publication Type:Journal Article
- Keywords:
Isoflurane;
Cerebrospinal fluid pressure;
Cerebral blood flow velocity;
Desflurane
- From:
Chinese Journal of Anesthesiology
1994;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of desflurane on blood flow velocity in the middle cerebral artery (VmMCA) and cerebrospinal fluid pressure (CSFP).Methods Sixty patients were randomly assigned to two groups. In group A,the anesthesia was maintained with desflurane, and in group B, with isoflurane. In either group, patients were allocated to three subgroups according to different doses(05,08,1.1MAC). CSFP was measured through a lumbar subarachnoid catheter before surgical procedures,from induction to administration of the inhalational agent for 45min.VmMCA was measured by transcranial Doppler at baseline , postintubation and administration of agent for 45min. Results As compared with baseline,CSFP increased gradually and reached to 16.90?4.01mmHg in subgroup 1.1MAC of group A (P0.05). Compared with baseline, VmMCA increased significantly at 45th min following administration of agent in subgroup 11MAC of group A(P005). In group A , a significant parallel correlation existed between the MAC levels and the values of VmMCA or CSFP (r=0.52,P
