| Item type |
学術雑誌論文 / Journal Article(1) |
| タイトル |
|
|
タイトル |
Efficacy of Bispectral Index (BIS) for Detecting Cerebral Hypoperfusion Caused by Pneumoperitoneum and Steep Trendelenburg Position during Robotic-assisted Laparoscopic Surgery: A Case Report |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Bispectal index (BIS) |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Trendelenburg position |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
pneumoperitoneum |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
cerebrovascular autoregulation |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 著者 |
Sakurai, Kazuho
Suzuki, Hiroaki
Taguchi, Asuka
|
| 書誌情報 |
en : Dokkyo Medical Journal
巻 4,
号 2,
p. 165-169,
発行日 2025-04-25
|
| 記事種別 |
|
|
値 |
Case Report |
| 内容記述 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Pneumoperitoneum and steep Trendelenburg position may cause cerebral abnormalities during roboticassisted laparoscopic surgery. Previous studies indicated that cerebrovascular autoregulation and the intracranial pressure might be affected by pneumoperitoneum and steep Trendelenburg position. These changes may affect cerebral blood flow, leading to the change of bispectral index (BIS) value. We report a case of a 60-year-old woman who underwent robotic-assisted laparoscopic surgery under general anesthesia, in whom the cause of the decrease in the BIS might be due to pneumoperitoneum and steep Trendelenburg position during surgery. After induction of anesthesia, the BIS value had been stable at 50-60. About 3.5 h after the start of surgery, the BIS started to decrease gradually, and about 5.5 h after surgery, it decreased to around 10-15. The fascial congestion signs (edema of the bulbar conjunctiva and the face, dark red color on the face) were identified. After releasing pneumoperitoneum and deep Trendelenburg position, BIS value increased. Pneumoperitoneum and steep Trendelenburg position may affect the cerebral blood flow and the BIS value, especially during a prolonged surgery. The BIS may be a useful monitor to detect cerebral abnormalities, caused by pneumoperitoneum and steep Trendelenburg position. |
|
言語 |
en |
| 出版者 |
|
|
出版者 |
Dokkyo Medical Society |
| ISSN |
|
|
収録物識別子タイプ |
EISSN |
|
収録物識別子 |
2436-522X |
| 書誌レコードID |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA12941861 |
| DOI |
|
|
関連タイプ |
isIdenticalTo |
|
|
識別子タイプ |
DOI |
|
|
関連識別子 |
https://doi.org/10.51040/dkmj.2024-036 |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
DKMJ-4-2-11.pdf (128 KB)
.png)
