Propofol effects over intracranial pressure waveform and cerebral hemodynamics: A case report

Detalhes bibliográficos
Autor(a) principal: Neves, Nathália Meneses
Data de Publicação: 2024
Outros Autores: Kassahara, Thais Rodrigues, Arita, Sany Tomomi de Almeida Rocha, Peixoto, Elaine, Brasil, Sérgio
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/44982
Resumo: Introduction: Few reports have been dedicated on assessing cerebral hemodynamics (CH) and intracranial compliance (ICC) in non-primary neurological patients. Objective: The present study aims to observe the anesthetic influence of propofol on CH and ICC using noninvasive monitoring techniques in the immediate postoperative period. Methodology: This is a case report in which CH and ICC were assessed noninvasively using transcranial Doppler (TCD) and a skull deformation sensor (B4C) respectively, in the immediate postoperative period of a patient just after cardiac revascularization. After exclusion of volemic depletion, TCD and B4C parameters indicated reduction in cerebral blood flow what would be attributed to propofol infusion during surgery. After endovenous additional volume administration and arterial pressure elevation, TCD and B4C parameters improved. Final Considerations: It was possible observing cerebrovascular influences of propofol in the immediate postoperative period, by means of neurological ancillary techniques. Noninvasive neuromonitoring is a way to assess changes in brain physiology that may occur subtly and influence in non-primary neurological patients outcomes.
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spelling Propofol effects over intracranial pressure waveform and cerebral hemodynamics: A case report Efectos del propofol sobre la morfología del pulso de presión intracraneal y la hemodinámica cerebral: Reporte de un casoEfeitos do propofol sobre a morfologia do pulso da pressão intracraniana e a hemodinâmica cerebral: Um relato de casoCirculación cerebrovascularPresión intracranealPropofolAnestesiaCuidados posoperatorios.Cerebrovascular circulationIntracranial pressurePropofolAnesthesiaPostoperative care.Circulação cerebrovascularPressão intracranianaPropofolAnestesiaCuidados pós-operatórios.Introduction: Few reports have been dedicated on assessing cerebral hemodynamics (CH) and intracranial compliance (ICC) in non-primary neurological patients. Objective: The present study aims to observe the anesthetic influence of propofol on CH and ICC using noninvasive monitoring techniques in the immediate postoperative period. Methodology: This is a case report in which CH and ICC were assessed noninvasively using transcranial Doppler (TCD) and a skull deformation sensor (B4C) respectively, in the immediate postoperative period of a patient just after cardiac revascularization. After exclusion of volemic depletion, TCD and B4C parameters indicated reduction in cerebral blood flow what would be attributed to propofol infusion during surgery. After endovenous additional volume administration and arterial pressure elevation, TCD and B4C parameters improved. Final Considerations: It was possible observing cerebrovascular influences of propofol in the immediate postoperative period, by means of neurological ancillary techniques. Noninvasive neuromonitoring is a way to assess changes in brain physiology that may occur subtly and influence in non-primary neurological patients outcomes.Introducción: Pocos informes se han dedicado a evaluar la hemodinámica cerebral (HC) y la distensibilidad intracraneal (DIC) en pacientes neurológicos no primarios. Objetivo: El presente estudio tiene como objetivo observar la influencia anestésica del propofol sobre el HC y el DIC mediante técnicas de monitorización no invasivas en el postoperatorio inmediato. Metodología: Este es un reporte de caso en el que se evaluaron HC y DIC de forma no invasiva mediante Doppler transcraneal (TCD) y un sensor de deformación del cráneo (B4C), respectivamente, en el postoperatorio inmediato de un paciente inmediatamente después de la revascularización cardíaca. Después de excluir el agotamiento volémico, los parámetros TCD y B4C indicaron una reducción en el flujo sanguíneo cerebral que se atribuiría a la infusión de propofol durante la cirugía. Después de la administración endovenosa de volumen adicional y la elevación de la presión arterial, los parámetros de TCD y B4C mejoraron. Consideraciones finales: Fue posible observar influencias cerebrovasculares del propofol en el postoperatorio inmediato, mediante técnicas auxiliares neurológicas. La neuromonitorización no invasiva es una forma de evaluar los cambios en la fisiología cerebral que pueden ocurrir sutilmente e influir en los resultados de los pacientes neurológicos no primarios.Introdução: Poucos relatos se dedicaram à avaliação da hemodinâmica cerebral (HC) e da complacência intracraniana (CIC) em pacientes neurológicos não primários. Objetivo: O presente estudo tem como objetivo observar a influência anestésica do propofol no HC e no CIC por meio de técnicas de monitorização não invasivas no pós-operatório imediato. Metodologia: Trata-se de um relato de caso em que o HC e o CIC foram avaliados de forma não invasiva por meio de Doppler transcraniano (DCT) e sensor de deformação craniana (B4C), respectivamente, no pós-operatório imediato de um paciente logo após revascularização cardíaca. Após exclusão da depleção volêmica, os parâmetros DCT e B4C indicaram redução do fluxo sanguíneo cerebral, o que seria atribuído à infusão de propofol durante a cirurgia. Após administração de volume adicional endovenoso e elevação da pressão arterial, os parâmetros DCT e B4C melhoraram. Considerações Finais: Foi possível observar influências cerebrovasculares do propofol no pós-operatório imediato, por meio de técnicas neurológicas auxiliares. O neuromonitoramento não invasivo é uma forma de avaliar alterações na fisiologia cerebral que podem ocorrer de forma sutil e influenciar nos resultados não primários dos pacientes neurológicos.Research, Society and Development2024-02-15info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/4498210.33448/rsd-v13i2.44982Research, Society and Development; Vol. 13 No. 2; e5613244982Research, Society and Development; Vol. 13 Núm. 2; e5613244982Research, Society and Development; v. 13 n. 2; e56132449822525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/44982/35938Copyright (c) 2024 Nathália Meneses Neves; Thais Rodrigues Kassahara; Sany Tomomi de Almeida Rocha Arita; Elaine Peixoto; Sérgio Brasilhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessNeves, Nathália Meneses Kassahara, Thais Rodrigues Arita, Sany Tomomi de Almeida Rocha Peixoto, ElaineBrasil, Sérgio2024-03-04T09:47:20Zoai:ojs.pkp.sfu.ca:article/44982Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-03-04T09:47:20Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Propofol effects over intracranial pressure waveform and cerebral hemodynamics: A case report
Efectos del propofol sobre la morfología del pulso de presión intracraneal y la hemodinámica cerebral: Reporte de un caso
Efeitos do propofol sobre a morfologia do pulso da pressão intracraniana e a hemodinâmica cerebral: Um relato de caso
title Propofol effects over intracranial pressure waveform and cerebral hemodynamics: A case report
spellingShingle Propofol effects over intracranial pressure waveform and cerebral hemodynamics: A case report
Neves, Nathália Meneses
Circulación cerebrovascular
Presión intracraneal
Propofol
Anestesia
Cuidados posoperatorios.
Cerebrovascular circulation
Intracranial pressure
Propofol
Anesthesia
Postoperative care.
Circulação cerebrovascular
Pressão intracraniana
Propofol
Anestesia
Cuidados pós-operatórios.
title_short Propofol effects over intracranial pressure waveform and cerebral hemodynamics: A case report
title_full Propofol effects over intracranial pressure waveform and cerebral hemodynamics: A case report
title_fullStr Propofol effects over intracranial pressure waveform and cerebral hemodynamics: A case report
title_full_unstemmed Propofol effects over intracranial pressure waveform and cerebral hemodynamics: A case report
title_sort Propofol effects over intracranial pressure waveform and cerebral hemodynamics: A case report
author Neves, Nathália Meneses
author_facet Neves, Nathália Meneses
Kassahara, Thais Rodrigues
Arita, Sany Tomomi de Almeida Rocha
Peixoto, Elaine
Brasil, Sérgio
author_role author
author2 Kassahara, Thais Rodrigues
Arita, Sany Tomomi de Almeida Rocha
Peixoto, Elaine
Brasil, Sérgio
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Neves, Nathália Meneses
Kassahara, Thais Rodrigues
Arita, Sany Tomomi de Almeida Rocha
Peixoto, Elaine
Brasil, Sérgio
dc.subject.por.fl_str_mv Circulación cerebrovascular
Presión intracraneal
Propofol
Anestesia
Cuidados posoperatorios.
Cerebrovascular circulation
Intracranial pressure
Propofol
Anesthesia
Postoperative care.
Circulação cerebrovascular
Pressão intracraniana
Propofol
Anestesia
Cuidados pós-operatórios.
topic Circulación cerebrovascular
Presión intracraneal
Propofol
Anestesia
Cuidados posoperatorios.
Cerebrovascular circulation
Intracranial pressure
Propofol
Anesthesia
Postoperative care.
Circulação cerebrovascular
Pressão intracraniana
Propofol
Anestesia
Cuidados pós-operatórios.
description Introduction: Few reports have been dedicated on assessing cerebral hemodynamics (CH) and intracranial compliance (ICC) in non-primary neurological patients. Objective: The present study aims to observe the anesthetic influence of propofol on CH and ICC using noninvasive monitoring techniques in the immediate postoperative period. Methodology: This is a case report in which CH and ICC were assessed noninvasively using transcranial Doppler (TCD) and a skull deformation sensor (B4C) respectively, in the immediate postoperative period of a patient just after cardiac revascularization. After exclusion of volemic depletion, TCD and B4C parameters indicated reduction in cerebral blood flow what would be attributed to propofol infusion during surgery. After endovenous additional volume administration and arterial pressure elevation, TCD and B4C parameters improved. Final Considerations: It was possible observing cerebrovascular influences of propofol in the immediate postoperative period, by means of neurological ancillary techniques. Noninvasive neuromonitoring is a way to assess changes in brain physiology that may occur subtly and influence in non-primary neurological patients outcomes.
publishDate 2024
dc.date.none.fl_str_mv 2024-02-15
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/44982
10.33448/rsd-v13i2.44982
url https://rsdjournal.org/index.php/rsd/article/view/44982
identifier_str_mv 10.33448/rsd-v13i2.44982
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/44982/35938
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 13 No. 2; e5613244982
Research, Society and Development; Vol. 13 Núm. 2; e5613244982
Research, Society and Development; v. 13 n. 2; e5613244982
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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