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Evaluation of cerebral oxygen saturation during hypotensive anesthesia in functional endoscopic sinus surgery

Journal of Anaesthesiology Clinical Pharmacology Jan 09, 2019

Farzanegan B, et al. - Given that cerebral oxygen saturation (ScO2) is important in endoscopic sinus surgery patients and it may be low during controlled hypotension, researchers evaluated ScO2 in 41 patients who had endoscopic sinus surgery with hypotensive anesthesia and were included in this observational study. ScO2 was assessed using near-infrared spectroscopy. In the surgical duration, mean arterial blood pressure (MAP) was maintained at 55–60 mmHg. They used t-test, Wilcoxon, and repeated measures analysis of variance (ANOVA). They also assessed the cross-correlation functions of the time series data between end-tidal carbon dioxide (ETCO2)/MAP and ScO2. They found that, ScO2 evaluation and maintained MAP >55 mmHg may offer safe conditions for endoscopic sinus surgery. Findings revealed moderate cross correlation between the MAP and current ScO2. Within 30 min, recovery was seen in about 92% of the patients. Associations of recovery time with intraoperative MAP, intraoperative ETCO2, and ScO2, were also found.
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