雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Systemic and Cerebral Hemodynamic Changes during Craniotomy under Mild Hypothermia Atsuhiro NAKAGAWA 1 , Kiyotaka SATO 1 , Takashi YOSHIMOTO 2 1Department of Neuroanesthesia, Kohnan Hospital 2Department of Neurosurgery, Tohoku University School of Medicine Keyword: mild hypothermia , cerebral aneurysm , subarachnoid hemorrhage , systemic circulation , cerebral circulation pp.529-533
Published Date 2000/6/10
DOI https://doi.org/10.11477/mf.1436901902
  • Abstract
  • Look Inside

Systemic and cerebral hemodynamics were evaluated through pulmonary artery and jugular bulb cathe-ters in 31 patients with cerebral aneurysms. The temperature of the pulmonary artery was lowered to 33-34℃ during surgeries. Systemic circulation deteriorated during mild hypothermia, but cerebral circulation showed a little improvement. Cardiac function recovered by rewarming, but the balance between systemic oxygen supply and demand did not always improve. Therefore, a strict monitoring of systemic circulation is necessary even when the hypothermia is only mild and vasodilator or inotropics would be indicated. Rapid rewarming should be avoided, especially when surgical retraction of the brain is strong or temporary occlusion is prolonged.


Copyright © 2000, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

関連文献

もっと見る

文献を共有