Correlation between Parameters of Brain Tissue Oxygen
Monitoring and Transcranial Dopplermetry in Patients with
Severe Subarachnoid Hemorrhage

a 2013

Correlation between Parameters of Brain Tissue Oxygen Monitoring and Transcranial Dopplermetry in Patients with Severe Subarachnoid Hemorrhage

SMRČKA, Martin, Kamil ĎURIŠ, Eduard NEUMAN, Andrej MRLIAN, Vilém JURÁŇ et. al.

Základní údaje

Originální název

Correlation between Parameters of Brain Tissue Oxygen Monitoring and Transcranial Dopplermetry in Patients with Severe Subarachnoid Hemorrhage

Autoři

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

Vydání

15th International Conference on Intracranial Pressure & Brain Monitoring (ICP), 6-10 November 2013, Singapore, 2013

Další údaje

Jazyk

angličtina

Typ výsledku

Konferenční abstrakt

Obor

30000 3. Medical and Health Sciences

Stát vydavatele

Singapur

Utajení

není předmětem státního či obchodního tajemství

Kód RIV

RIV/00216224:14110/13:00071181

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

Tissue Oxygen Monitoring; Transcranial Dopplermetry; Subarachnoid Hemorrhage

Změněno: 20. 1. 2014 14:26, Ing. Mgr. Věra Pospíšilíková

Anotace

V originále

Objectives: it is still difficult to define vasospasms in patients with severe subarachnoid hemorrhage according to the tissue oxymetry monitoring. The aim of this study is to evaluate correlation between brain tissue oxygen levels and transcranial dopplermetry parameters in patients suffering from severe subarachnoid hemorrhage (SAH). Methods: Patients with SAH from a rupture of cerebral vessel aneurysm in clinical status of HH4 and 5 according to Hunt-Hess scale were enrolled into the study. Brain tissue oxygen monitoring (PbtO2, Licox system) of the area supplied by the ipsilateral middle cerebral artery was performed in addition to standard ICU monitoring. Transcranial dopplermetry (TCD) of the ipsilateral middle cerebral artery was performed repeatedly. The correlation between TCD parameters and parameters of PbtO2 was evaluated. Results: Totally we have enrolled 27 patients, 5 patients were subsequently excluded because of bad position of the probe or early failure of PbtO2 monitoring. In the group of 22 evaluated patients, there were 17 females and 5 males and the mean age of this group was 53,3 years. There were 15 patients in clinical status of HH4 and 7 patients in status of HH5, clipping of the aneurysm was performed in 14 cases, while the coiling was used in 8 patients. The outcome parameters were as follows: GOS 1 (death) - 8 patients, GOS 2 and 3 - 11, GOS 4and 5-3 patients. In our study group there was no significant correlation between Pbt02 and parameters of velocity (p=0,2499, r=0,1998 for Vmean), however there was a significant correlation between Pbt02 and both arterial resistivity index (Rl, p=0. 0061, r=-0.4546) and pulsatility index (PI, p=0,0089, r=-0,4359).

Citovat

SMRČKA, Martin, Kamil ĎURIŠ, Eduard NEUMAN, Andrej MRLIAN a Vilém JURÁŇ. Correlation between Parameters of Brain Tissue Oxygen Monitoring and Transcranial Dopplermetry in Patients with Severe Subarachnoid Hemorrhage. In 15th International Conference on Intracranial Pressure & Brain Monitoring (ICP), 6-10 November 2013, Singapore. 2013.

@proceedings{1160090,
   author = {Smrčka, Martin and Ďuriš, Kamil and Neuman, Eduard and Mrlian, Andrej and Juráň, Vilém},
   booktitle = {15th International Conference on Intracranial Pressure & Brain Monitoring (ICP), 6-10 November 2013, Singapore},
   keywords = {Tissue Oxygen Monitoring; Transcranial Dopplermetry; Subarachnoid Hemorrhage},
   language = {eng},
   title = {Correlation between Parameters of Brain Tissue Oxygen Monitoring and Transcranial Dopplermetry in Patients with Severe Subarachnoid Hemorrhage},
   year = {2013}
}

TY  - CONF
ID  - 1160090
AU  - Smrčka, Martin - Ďuriš, Kamil - Neuman, Eduard - Mrlian, Andrej - Juráň, Vilém
PY  - 2013
TI  - Correlation between Parameters of Brain Tissue Oxygen Monitoring and Transcranial Dopplermetry in Patients with Severe Subarachnoid Hemorrhage
KW  - Tissue Oxygen Monitoring
KW  - Transcranial Dopplermetry
KW  - Subarachnoid Hemorrhage
N2  - Objectives: it is still difficult to define vasospasms in patients with severe subarachnoid hemorrhage according to the tissue oxymetry monitoring. The aim of this study is to evaluate correlation between brain tissue oxygen levels and transcranial dopplermetry parameters in patients suffering from severe subarachnoid hemorrhage (SAH). Methods: Patients with SAH from a rupture of cerebral vessel aneurysm in clinical status of HH4 and 5 according to Hunt-Hess scale were enrolled into the study. Brain tissue oxygen monitoring (PbtO2, Licox system) of the area supplied by the ipsilateral middle cerebral artery was performed in addition to standard ICU monitoring. Transcranial dopplermetry (TCD) of the ipsilateral middle cerebral artery was performed repeatedly. The correlation between TCD parameters and parameters of PbtO2 was evaluated. Results: Totally we have enrolled 27 patients, 5 patients were subsequently excluded because of bad position of the probe or early failure of PbtO2 monitoring. In the group of 22 evaluated patients, there were 17 females and 5 males and the mean age of this group was 53,3 years. There were 15 patients in clinical status of HH4 and 7 patients in status of HH5, clipping of the aneurysm was performed in 14 cases, while the coiling was used in 8 patients. The outcome parameters were as follows: GOS 1 (death) - 8 patients, GOS 2 and 3 - 11, GOS 4and 5-3 patients. In our study group there was no significant correlation between Pbt02 and parameters of velocity (p=0,2499, r=0,1998 for Vmean), however there was a significant correlation between Pbt02 and both arterial resistivity index (Rl, p=0. 0061, r=-0.4546) and pulsatility index (PI, p=0,0089, r=-0,4359).
ER  -

SMRČKA, Martin, Kamil ĎURIŠ, Eduard NEUMAN, Andrej MRLIAN a Vilém JURÁŇ. Correlation between Parameters of Brain Tissue Oxygen Monitoring and Transcranial Dopplermetry in Patients with Severe Subarachnoid Hemorrhage. In \textit{15th International Conference on Intracranial Pressure \&{} Brain Monitoring (ICP), 6-10 November 2013, Singapore}. 2013.

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