Influence of the depth of sedation on regional cerebral oxygen saturation monitoring in neurosurgery of supratentorial gliomas

Abstract

Objective To investigate the influence on regional cerebral oxygen saturation (rScO2) of sedation depth during anesthesia induction and maintenance in supratentorial glioma resections. Methods Thirty patients with Ⅰ - Ⅱ supratentorial glioma (graded by American Society of Anesthesiologists) underwent elective supratentorial glioma resection were included in this study. Rocuronium, sufentanil and propofol were used for anesthesia induction. After trachea cannula, total intravenous anesthesia (TIVA) was maintained with plasma concentration of propofol 2.80-3.20 μg/ml and remifentanil 0.10-0.20 μg/(kg·min). Thirty groups of rScO2, bispectral index (BIS), mean arterial pressure (MAP) and heart rate (HR) were recorded continuously till the incision. Results During anesthesia induction, BIS decreased along with the infusion of anesthetics, and there was significant negative correlation between BIS and rScO2 (r = ⁃0.803, P = 0.001). During anesthesia maintenance, rScO2 and BIS were not significantly related (r = 0.147, P = 0.396). Conclusion The rScO2 monitoring can reflect the influence of sedation depth on cerebral oxygen delivery and consumption balance during supratentorial glioma resection under TIVA． DOI：10.3969/j.issn.1672⁃6731.2012.06.012

Keywords

• Anesthesia, intravenous
• Supratentorial neoplasms
• Glioma
• Oxygen consumption
• Monitoring, intraoperative