International journal of advanced smart convergence

  • 제9권3호
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  • Pages.71-77
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  • 2020
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  • 2288-2847(pISSN)
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  • 2288-2855(eISSN)
한국인터넷방송통신학회 (The Institute of Internet, Broadcasting and Communication)
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Effects of changes in blood pressure during brain vascular surgery on intraoperative neuromonitoring

  • Lee, Kyuhyun (Department of Health Sciences, Dankook University) ;
  • Kim, Jaekyung (Department of Health Sciences, Dankook University)
  • 투고 : 2020.06.20
  • 심사 : 2020.07.03
  • 발행 : 2020.09.30
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초록

This study was conducted in order to determine how reductions in blood pressure during surgery affect intraoperative neuromonitoring. This retrospective study considered a total of 339 patients: 194 patients with normal neuromonitoring findings (57%), 145 (42%) with abnormal neuromonitoring findings, and 34 (10%) with postoperative neurological deficits. Comparisons between the three groups revealed that overall blood pressure during surgery, postoperative blood pressure, and the difference between the maximum and minimum blood pressure could affect the intraoperative neuromonitoring findings. While we indicate that a drop in blood pressure to below 70 mmHg could affect neuromonitoring results, differences in the dosage of anesthetic agents did not significantly affect reductions in blood pressure or neuromonitoring findings. The association of monitoring with blood pressure found in this study is expected to help future examiners. However, this study did not clarify the relationship between anesthesia and blood pressure and how it could affect intraoperative neuromonitoring. Therefore, further research on this part is thought to be necessary.

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참고문헌

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