Intraoperative monitoring of oxygen tissue pressure: Applications in vascular neurosurgery

Ischemic lesions related to surgical procedures are a major cause of postoperative morbidity in patients with cerebral vascular disease. There are different systems of neuromonitoring to detect intraoperative ischemic events, including intraoperative monitoring of oxygen tissue pressure (PtiO2). The...

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Published inNeurocirugía (Asturias, Spain) Vol. 25; no. 6; pp. 275 - 285
Main Authors Arikan, Fuat, Vilalta, Jordi, Torne, Ramon, Chocron, Ivette, Rodriguez-Tesouro, Ana, Sahuquillo, Juan
Format Journal Article
LanguageSpanish
Published Spain 01.11.2014
Subjects
Presión tisular de oxígeno
Cerebral ischemia
Isquemia cerebral
Oxygen tissue pressure
Vascular neurosurgery
Monitorización intraoperatoria
Intraoperative monitoring
PtiO
Neurocirugía vascular
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Summary:Ischemic lesions related to surgical procedures are a major cause of postoperative morbidity in patients with cerebral vascular disease. There are different systems of neuromonitoring to detect intraoperative ischemic events, including intraoperative monitoring of oxygen tissue pressure (PtiO2). The aim of this article was to describe, through the discussion of 4 cases, the usefulness of intraoperative PtiO2 monitoring during vascular neurosurgery. In presenting these cases, we demonstrate that monitoring PtiO2 is a reliable way to detect early ischemic events during surgical procedures. Continuous monitoring of PtiO2 in an area at risk allows the surgeon to resolve the cause of the ischemic event before it evolves to an established cerebral infarction.
Bibliography:ObjectType-Case Study-2
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ISSN:1130-1473
DOI:10.1016/j.neucir.2014.03.003