Modifications hémodynamiques cérébrale et systémiques au moment du réveil en neurochirurgie [Cerebral and systemic haemodynamic changes during neurosurgical recovery]

Détails

ID Serval
serval:BIB_84F11B3257C7
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Modifications hémodynamiques cérébrale et systémiques au moment du réveil en neurochirurgie [Cerebral and systemic haemodynamic changes during neurosurgical recovery]
Périodique
Annales Françaises d'Anesthésie et de Réanimation
Auteur(s)
Bruder N., Ravussin P.
ISSN
0750-7658
Statut éditorial
Publié
Date de publication
04/2004
Peer-reviewed
Oui
Volume
23
Numéro
4
Pages
410-416
Langue
français
Notes
English Abstract Journal Article Review --- Old month value: Apr
Résumé
Major complications after intracranial surgery occur in 13-27% of patients. Among multiple causes, haemodynamic and metabolic changes of anaesthesia recovery may be responsible for intracranial complications. Recovery from neurosurgical anaesthesia is followed by an increase in body oxygen consumption and catecholamines concentrations. However, in normothermic patients, theses changes are usually mild and not prevented by a 2-h recovery delay. Systemic hypertension is common after neurosurgery and a link between perioperative hypertension and intracranial haemorrhage has been established. The cerebral consequences of recovery associate cerebral hyperaemia and increased ICP in patients with a tight brain at the end of surgery. Cerebral hyperaemia may promote or exacerbate cerebral haemorrhage or oedema. This has been demonstrated in patients operated for subdural haematoma removal or undergoing carotid surgery. Prevention of hypothermia and pain are key factors to prevent metabolic changes. Beta-blockers seem to be suitable agents to obtain haemodynamic control in neurosurgical patients.
Mots-clé
Anesthesia Recovery Period, Brain Chemistry/physiology, Cerebrovascular Circulation/physiology, Craniotomy, Hemodynamics/physiology, Humans, Intracranial Pressure/physiology, Monitoring, Physiologic, Neurosurgical Procedures
Pubmed
Web of science
Création de la notice
17/01/2008 17:20
Dernière modification de la notice
03/03/2018 18:56
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