Monitoring cerebral oxygen saturation in elderly patients undergoing general abdominal surgery: A prospective cohort study

Andrea Casati; G. Fanelli; P. Pietropaoli; R. Proietti; R. Tufano; S. Montanini; Giorgio Danelli; Massimiliano Nuzzi; Federico Mentegazzi; Giorgio Torri; Carla Martani; Emanuela Spreafico; Giovanni Fierro; Francesco Pugliese; Germano De Cosmo; Paola Aceto; Giuseppe Servillo; Fabrizio Monaco

doi:10.1017/S0265021506001025

Monitoring cerebral oxygen saturation in elderly patients undergoing general abdominal surgery: A prospective cohort study

Andrea Casati, G. Fanelli, P. Pietropaoli, R. Proietti, R. Tufano, S. Montanini, Giorgio Danelli, Massimiliano Nuzzi, Federico Mentegazzi, Giorgio Torri, Carla Martani, Emanuela Spreafico, Giovanni Fierro, Francesco Pugliese, Germano De Cosmo, Paola Aceto, Giuseppe Servillo, Fabrizio Monaco

IRCCS Ospedale San Raffaele

Research output: Contribution to journal › Article

Abstract

Background and objectives: The aim of this prospective, observational study was to evaluate changes in regional cerebral oxygen saturation (rSO ₂) and incidence of intraoperative cerebral desaturation in a cohort of elderly patients undergoing major abdominal surgery. Methods: rSO₂ was continuously monitored on the left and right sides of the forehead in 60 patients older than 65 yr (35 males and 25 females; ASA II-III; age: 72 ± 5 yr; without pre-existing cerebral pathology, and baseline Mini Mental State Examination (MMSE) score >23) undergoing sevoflurane anaesthesia for major abdominal, non-vascular surgery >2 h. Results: Baseline rSO₂ was 63 ± 8%; cerebral desaturation (rSO₂ decrease 2 95%: 1.1-16). Median (range) hospital stay was 14 (5-41) days in patients with an area under the curve of rSO₂ rSO2_{) >10 min%, and 10 (4-30) days in those with an AUC_rSO2}

Original language	English
Pages (from-to)	59-65
Number of pages	7
Journal	European Journal of Anaesthesiology
Volume	24
Issue number	1
DOIs	https://doi.org/10.1017/S0265021506001025
Publication status	Published - Jan 2007

Keywords

Aged
Anaesthesia general
Cerbral ischaemia
Oximetry, cerebral
Postoperative period, cognitive function
Surgery abdominal

ASJC Scopus subject areas

Anesthesiology and Pain Medicine

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Casati, A., Fanelli, G., Pietropaoli, P., Proietti, R., Tufano, R., Montanini, S., Danelli, G., Nuzzi, M., Mentegazzi, F., Torri, G., Martani, C., Spreafico, E., Fierro, G., Pugliese, F., De Cosmo, G., Aceto, P., Servillo, G., & Monaco, F. (2007). Monitoring cerebral oxygen saturation in elderly patients undergoing general abdominal surgery: A prospective cohort study. European Journal of Anaesthesiology, 24(1), 59-65. https://doi.org/10.1017/S0265021506001025

Monitoring cerebral oxygen saturation in elderly patients undergoing general abdominal surgery : A prospective cohort study. / Casati, Andrea; Fanelli, G.; Pietropaoli, P.; Proietti, R.; Tufano, R.; Montanini, S.; Danelli, Giorgio; Nuzzi, Massimiliano; Mentegazzi, Federico; Torri, Giorgio; Martani, Carla; Spreafico, Emanuela; Fierro, Giovanni; Pugliese, Francesco; De Cosmo, Germano; Aceto, Paola; Servillo, Giuseppe; Monaco, Fabrizio.

In: European Journal of Anaesthesiology, Vol. 24, No. 1, 01.2007, p. 59-65.

Research output: Contribution to journal › Article

Casati, A, Fanelli, G, Pietropaoli, P, Proietti, R, Tufano, R, Montanini, S, Danelli, G, Nuzzi, M, Mentegazzi, F, Torri, G, Martani, C, Spreafico, E, Fierro, G, Pugliese, F, De Cosmo, G, Aceto, P, Servillo, G & Monaco, F 2007, 'Monitoring cerebral oxygen saturation in elderly patients undergoing general abdominal surgery: A prospective cohort study', European Journal of Anaesthesiology, vol. 24, no. 1, pp. 59-65. https://doi.org/10.1017/S0265021506001025

Casati, Andrea ; Fanelli, G. ; Pietropaoli, P. ; Proietti, R. ; Tufano, R. ; Montanini, S. ; Danelli, Giorgio ; Nuzzi, Massimiliano ; Mentegazzi, Federico ; Torri, Giorgio ; Martani, Carla ; Spreafico, Emanuela ; Fierro, Giovanni ; Pugliese, Francesco ; De Cosmo, Germano ; Aceto, Paola ; Servillo, Giuseppe ; Monaco, Fabrizio. / Monitoring cerebral oxygen saturation in elderly patients undergoing general abdominal surgery : A prospective cohort study. In: European Journal of Anaesthesiology. 2007 ; Vol. 24, No. 1. pp. 59-65.

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abstract = "Background and objectives: The aim of this prospective, observational study was to evaluate changes in regional cerebral oxygen saturation (rSO 2) and incidence of intraoperative cerebral desaturation in a cohort of elderly patients undergoing major abdominal surgery. Methods: rSO2 was continuously monitored on the left and right sides of the forehead in 60 patients older than 65 yr (35 males and 25 females; ASA II-III; age: 72 ± 5 yr; without pre-existing cerebral pathology, and baseline Mini Mental State Examination (MMSE) score >23) undergoing sevoflurane anaesthesia for major abdominal, non-vascular surgery >2 h. Results: Baseline rSO2 was 63 ± 8%; cerebral desaturation (rSO2 decrease 2 95%: 1.1-16). Median (range) hospital stay was 14 (5-41) days in patients with an area under the curve of rSO2 rSO2) >10 min%, and 10 (4-30) days in those with an AUCrSO2 ",

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AU - Fierro, Giovanni

AU - Pugliese, Francesco

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AU - Servillo, Giuseppe

AU - Monaco, Fabrizio

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