지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 225 - 230 (6page)
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초록· 키워드
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Purpose: We hypothesized that regional cerebral oxygen saturation (rSO2) could replace jugular bulb oxygen saturation (SjvO2) in the steep Trendelenburg position under pneumoperitoneum. Therefore, we evaluated the relationship between SjvO2 and rSO2 during laparoscopic surgery. Materials and Methods: After induction of anesthesia, mechanical ventilation was controlled to increase PaCO2 from 35 to 45 mm Hg in the supine position, and the changes in SjvO2 and rSO2 were measured. Then, after establishment of pneumoperitoneum and Trendelenburg position, ventilation was controlled to maintain a PaCO2 at 35 mm Hg and the CO2 step and measurements were repeated. The changes in SjvO2 (rSO2) -CO2 reactivity were compared in the supine position and Trendelenburg-pneumoperitoneum condition, respectively. Results: There was little correlation between SjvO2 and rSO2 in the supine position (concordance correlation coefficient=0.2819). Bland-Altman plots showed a mean bias of 8.4% with a limit of agreement of 21.6% and -4.7%. SjvO2 and rSO2 were not correlated during Trendelenburg-pneumoperitoneum condition (concordance correlation coefficient=0.3657). Bland-Altman plots showed a mean bias of 10.6% with a limit of agreement of 23.6% and -2.4%. The SjvO2-CO2 reactivity was higher than rSO2-CO2 reactivity in the supine position and Trendelenburg-pneumoperitoneum condition, respectively (0.9±1.1 vs. 0.4±1.2% mm Hg-1, p=0.04; 1.7±1.3 vs. 0.5±1.1% mm Hg-1, p<0.001). Conclusion: There is little correlation between SjvO2 and rSO2 in the supine position and Trendelenburg-pneumoperitoneum condition during laparoscopic surgery.
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참고문헌 (23)
참고문헌 신청
Barnhart HX / 2002 / Overall concordance correlation coefficient for evaluating agreement among multiple observers / Biometrics 58 : 1020 ~ 1027
Bland JM / 1986 / Statistical methods for assessing agreement between two methods of clinical measurement / Lancet 1 : 307 ~ 310
Brown R / 1993 / A comparison of two systems for assessing cerebral venous oxyhaemoglobin saturation during cardiopulmonary bypass in humans / Anaesthesia 48 : 697 ~ 700
Casati A / 2006 / New technology for noninvasive brain monitoring: continuous cerebral oximetry / Minerva Anestesiol 72 : 605 ~ 625
Choi SH / 20
Bland JM / 1986 / Statistical methods for assessing agreement between two methods of clinical measurement / Lancet 1 : 307 ~ 310
Brown R / 1993 / A comparison of two systems for assessing cerebral venous oxyhaemoglobin saturation during cardiopulmonary bypass in humans / Anaesthesia 48 : 697 ~ 700
Casati A / 2006 / New technology for noninvasive brain monitoring: continuous cerebral oximetry / Minerva Anestesiol 72 : 605 ~ 625
Choi SH / 20
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