Bispectral index as an indicator of cerebral hypoperfusion during off-pump coronary artery bypass grafting

被引：39

作者：

Hemmerling, TM

Olivier, JF

Basile, F

Le, N

Prieto, I

机构：

[1] Univ Montreal, Hotel Dieu, CHUM, PECARG,Dept Anesthesiol, Montreal, PQ, Canada

[2] Univ Montreal, Hotel Dieu, CHUM, PECARG,Dept Cardiac Surg, Montreal, PQ, Canada

来源：

ANESTHESIA AND ANALGESIA | 2005年 / 100卷 / 02期

关键词：

D O I：

10.1213/01.ANE.0000140245.44494.12

中图分类号：

R614 [麻醉学];

学科分类号：

100217 [麻醉学];

摘要：

Bradycardia and hypotension are common during off-pump coronary artery bypass grafting (OPCAB). We present a case of possible reversible global cerebral hypoperfusion. during distal grafting of the left circumflex coronary artery. The bispectral index (BIS) suddenly decreased from values of 45-50 to 0 during distal grafting. Neurologic evaluation after immediate tracheal extubation in the operating room was normal and the 58 yr old patient did not suffer any neurologic sequelae. Postoperative recovery was uneventful and the patient was discharged 5 days after surgery. Cerebral hypoperfusion is a possible complication during OPCAB. BIS monitoring in OPCAB could be an indicator of cerebral hypoperfusion.

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收藏

页码：354 / 356

页数：3

相关论文

共 14 条

[1]

Off-pump coronary artery bypass (OPCAB) surgery reduces risk-stratified morbidity and mortality: A United Kingdom multi-center comparative analysis of early clinical outcome [J].

Al-Ruzzeh, S ;

Ambler, G ;

Asimakopoulos, G ;

Omar, RZ ;

Hasan, R ;

Fabri, B ;

El-Gamel, A ;

DeSouza, A ;

Zamvar, V ;

Griffin, S ;

Keenan, D ;

Trivedi, U ;

Pullan, M ;

Cale, A ;

Cowen, M ;

Taylor, K ;

Amrani, M .

CIRCULATION, 2003, 108 (10) :1-8

[2]

Spatially resolved spectroscopy (NIRO-300) does not agree with jugular bulb oxygen saturation in patients undergoing warm bypass surgery [J].

Ali, MS ;

Harmer, M ;

Vaughan, RS ;

Dunne, JA ;

Latto, IP .

CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 2001, 48 (05) :497-501

[3]

BLUME WT, 1999, ELECTROENCEPHALOGRAP, P797

[4]

Edmonds HL, 2002, HEART SURG FORUM, V5, P225

[5]

Detection of cerebral hypoperfusion with bispectral index during paediatric cardiac surgery [J].

Hayashida, M ;

Chinzei, M ;

Komatsu, K ;

Yamamoto, H ;

Tamai, H ;

Orii, R ;

Hanaoka, K ;

Murakami, A .

BRITISH JOURNAL OF ANAESTHESIA, 2003, 90 (05) :694-698

[6]

Comparative effects of propofol versus fentanyl on cerebral oxygenation state during normothermic cardiopulmonary bypass and postoperative cognitive dysfunction [J].

Kadoi, Y ;

Saito, S ;

Kunimoto, F ;

Goto, F ;

Fujita, N .

ANNALS OF THORACIC SURGERY, 2003, 75 (03) :840-846

[7]

The Bispectral Index during an anaphylactic circulatory arrest [J].

Kluger, MT .

ANAESTHESIA AND INTENSIVE CARE, 2001, 29 (05) :544-547

[8]

Benefits of off-pump bypass on neurologic and clinical morbidity: A prospective randomized trial [J].

Lee, JD ;

Lee, SJ ;

Tsushima, WT ;

Yamauchi, H ;

Lau, WT ;

Popper, J ;

Stein, A ;

Johnson, D ;

Lee, D ;

Petrovitch, H ;

Dang, CR .

ANNALS OF THORACIC SURGERY, 2003, 76 (01) :18-25

[9]

Mérat S, 2001, CAN J ANAESTH, V48, P1066, DOI 10.1007/BF03020370

[10]

Is cerebral microembolism in mechanical prosthetic heart valves clinically relevant? [J].

Nadareishvili, ZG ;

Beletsky, V ;

Black, SE ;

Fremes, SE ;

Freedman, M ;

Kurzman, D ;

Leach, L ;

Norris, JW .

JOURNAL OF NEUROIMAGING, 2002, 12 (04) :310-315