Multimodal Monitoring in Detection and Treatment of Cerebral
Ischemia in Patients after Severe Subarachnoid Hemorrhage

a 2013

Multimodal Monitoring in Detection and Treatment of Cerebral Ischemia in Patients after Severe Subarachnoid Hemorrhage

SMRČKA, Martin, Vilém JURÁŇ, Ondřej NAVRÁTIL, Eduard NEUMAN, Kamil ĎURIŠ et. al.

Základní údaje

Originální název

Multimodal Monitoring in Detection and Treatment of Cerebral Ischemia in Patients after Severe Subarachnoid Hemorrhage

Autoři

SMRČKA, Martin (203 Česká republika, garant, domácí), Vilém JURÁŇ (203 Česká republika, domácí), Ondřej NAVRÁTIL (203 Česká republika), Eduard NEUMAN (203 Česká republika), Kamil ĎURIŠ (203 Česká republika, domácí) a Andrej MRLIAN (203 Česká republika)

Vydání

15th World Congress of Neurosurgery, September 8-13, 2013, Seoul, Korea, 2013

Další údaje

Jazyk

angličtina

Typ výsledku

Konferenční abstrakt

Obor

30000 3. Medical and Health Sciences

Stát vydavatele

Korejská republika

Utajení

není předmětem státního či obchodního tajemství

Kód RIV

RIV/00216224:14110/13:00071177

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

Cerebral Ischemia; Subarachnoid Hemorrhage

Změněno: 20. 1. 2014 13:36, Ing. Mgr. Věra Pospíšilíková

Anotace

V originále

Introduction : The aim of this study is to evaluate the possibilities and limits of brain tissue oxygen and cerebral blood flow monitoring in patients suffering from severe subarachnoid hemorrhage (SAH). Material and Method : Patients with SAH from a rupture of cerebral vessel aneurysm in clinical status of HH4 and 5 according to Hunt – Hesse classification were enrolled into the study. Brain tissue oxygen monitoring (PbtO2, Licox system) and cerebral blood flow monitoring (CBF, system Hemedex) were performed in addition to standard ICU monitoring. Transcranial dopplermetry (TCD) was performed repeatedly. The correlation between TCD parameters and parameters of PbtO2 and CBF monitoring was evaluated. Results : So far we have enrolled 15 patients, 5 patients were excluded because of failure of both PbtO2 and CBF monitoring. There were 8 females and 2 males in the study group and the mean age was 45,8 years. There were 9 patients in clinical status of HH4 and 1 patient in status of HH5 and the outcome was as follows: GOS 1 (death) – 3 patients, GOS 2 and 3 – 4, GOS 4and 5 – 3 patients. There was significant correlation between PbtO2 values and index of arterial resistivity (p=0. 0288, rs=-0.4464) while there was no correlation between PbtO2 and velocity (p=0. 8527, rs=0. 04001). There was no correlation between parameters of CBF monitoring and TCD. Conclusions : We have found significant correlation between PbtO2 and RI index. RI reflects resistivity of microvasculature. Our results show that PbtO2 monitoring refers to link between PbtO2 values and the condition of microvasculature in the brain. However, we have not found any link between PbtO2 values and TCD velocities which are the main characteristics of vasospasm.

Citovat

SMRČKA, Martin, Vilém JURÁŇ, Ondřej NAVRÁTIL, Eduard NEUMAN, Kamil ĎURIŠ a Andrej MRLIAN. Multimodal Monitoring in Detection and Treatment of Cerebral Ischemia in Patients after Severe Subarachnoid Hemorrhage. In 15th World Congress of Neurosurgery, September 8-13, 2013, Seoul, Korea. 2013.

@proceedings{1160080,
   author = {Smrčka, Martin and Juráň, Vilém and Navrátil, Ondřej and Neuman, Eduard and Ďuriš, Kamil and Mrlian, Andrej},
   booktitle = {15th World Congress of Neurosurgery, September 8-13, 2013, Seoul, Korea},
   keywords = {Cerebral Ischemia; Subarachnoid Hemorrhage},
   language = {eng},
   title = {Multimodal Monitoring in Detection and Treatment of Cerebral Ischemia in Patients after Severe Subarachnoid Hemorrhage},
   year = {2013}
}

TY  - CONF
ID  - 1160080
AU  - Smrčka, Martin - Juráň, Vilém - Navrátil, Ondřej - Neuman, Eduard - Ďuriš, Kamil - Mrlian, Andrej
PY  - 2013
TI  - Multimodal Monitoring in Detection and Treatment of Cerebral Ischemia in Patients after Severe Subarachnoid Hemorrhage
KW  - Cerebral Ischemia
KW  - Subarachnoid Hemorrhage
N2  - Introduction : The aim of this study is to evaluate the possibilities and limits of brain tissue oxygen and cerebral blood flow monitoring in patients suffering from severe subarachnoid hemorrhage (SAH). Material and Method : Patients with SAH from a rupture of cerebral vessel aneurysm in clinical status of HH4 and 5 according to Hunt – Hesse classification were enrolled into the study. Brain tissue oxygen monitoring (PbtO2, Licox system) and cerebral blood flow monitoring (CBF, system Hemedex) were performed in addition to standard ICU monitoring. Transcranial dopplermetry (TCD) was performed repeatedly. The correlation between TCD parameters and parameters of PbtO2 and CBF monitoring was evaluated. Results : So far we have enrolled 15 patients, 5 patients were excluded because of failure of both PbtO2 and CBF monitoring. There were 8 females and 2 males in the study group and the mean age was 45,8 years. There were 9 patients in clinical status of HH4 and 1 patient in status of HH5 and the outcome was as follows: GOS 1 (death) – 3 patients, GOS 2 and 3 – 4, GOS 4and 5 – 3 patients. There was significant correlation between PbtO2 values and index of arterial resistivity (p=0. 0288, rs=-0.4464) while there was no correlation between PbtO2 and velocity (p=0. 8527, rs=0. 04001). There was no correlation between parameters of CBF monitoring and TCD. Conclusions : We have found significant correlation between PbtO2 and RI index. RI reflects resistivity of microvasculature. Our results show that PbtO2 monitoring refers to link between PbtO2 values and the condition of microvasculature in the brain. However, we have not found any link between PbtO2 values and TCD velocities which are the main characteristics of vasospasm.
ER  -

SMRČKA, Martin, Vilém JURÁŇ, Ondřej NAVRÁTIL, Eduard NEUMAN, Kamil ĎURIŠ a Andrej MRLIAN. Multimodal Monitoring in Detection and Treatment of Cerebral Ischemia in Patients after Severe Subarachnoid Hemorrhage. In \textit{15th World Congress of Neurosurgery, September 8-13, 2013, Seoul, Korea}. 2013.

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