Assessment of the Adequacy of Volume Load in Craniotomies for Brain Lesions in Children
Abstract
Craniotomy for primary brain lesions in children is considered one of the specific challenges of anesthesia. One of the main goals of anesthesia is to optimize intracranial pressure and maintain cerebral perfusion pressure. This ensures adequate oxygen delivery to brain tissue and, at the same time, prevents secondary brain injury. In neurosurgery, optimizing intraoperative infusion therapy has a significant effect on early awakening, hemodynamic stability, and postoperative recovery. Studies on the use of pulse pressure variation (PPV) in neurosurgical patients remain insufficient, and its impact on infusion therapy, hemodynamic stability, and tissue perfusion under central venous pressure monitoring has not been fully evaluated. Neurosurgical operations for brain tumor removal may carry a risk of hypovolemia for various reasons, including inadequate control of fluid infusion, physiologically compensated arterial hypertension, and treatment with osmotic diuretics. Formula-based fluid management is considered ineffective in neuro-oncological surgeries. Individualized “goal-directed infusion therapy” has been proven to improve postoperative outcomes (Gan T.J., Sopitt A., Maruf M., El-Moalem H., Robertson K.M., Moretti E. Anesthesiology. 2022;02(4):820–26).
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Khoury SF, Henderson WG, DePalma RG, Mosca S, Healy NA, Kumbhani DD. va boshq. Katta jarrohlikdan so’ng uzoq muddatli operatsiyadan keyingi asoratlarning salbiy ta’sirini kamaytirish. Enn Surg. 2005; 242(3):326–41. [PMC bepul maqola] [PubMed] [Google Scholar]
Miya perfuziyasi bosimi bo’yicha tavsiyalar. J. Neyrotravma. 1996 yil; 3:693–97. [Google olimi]
Gan TJ, Sopitt A, Marouf M, El-Moalem H, Robertson KM, Moretti E va boshq. Maqsadli intraoperativ infuziyani boshqarish katta jarrohlikdan keyin kasalxonada qolish muddatini qisqartiradi. Anesteziologiya. 2002; 97(4):820–26. [ PubMed ] [ Google Scholar ]
Marik PE, Baram M, Vohid B. Markaziy venoz bosim suyuqlik reaktsiyasini taxmin qiladimi? Adabiyotni tizimli ko’rib chiqish. Torokal hirurgiya. 2008; 134(1):172–78. [ PubMed ] [ Google Scholar ]
Marik PE, Cavallazzi R. Markaziy venoz bosim suyuqlik reaktsiyasini taxmin qiladimi? Yangilangan meta-tahlil . Crit Care Med. 2013 yil; 41(7):1774–81. [ PubMed ] [ Google Scholar ]
Keller G., Sinavskiy K., Desebbe O., Lehot J.J. Infuziyani yuborishga javobni aniqlash uchun yurak urish bosimi va yurakni hajm bosimidagi o’zgarishlarni doimiy monitoring qilish kombinatsiyasi. J Clin Monit Comput. 2012; 26 (6): 401–05. [ PubMed ] [ Google Scholar ]
Hofer KK, Myuller SM, Furrer L, Klaghofer R, Genoni M, Zollinger A. Yurakdan tashqaridagi koronar arteriyani aylanib o’tadigan bemorlarda suyuqlik reaktsiyasini baholash uchun zarba hajmi va puls bosimidagi o’zgarishlar. Ko’krak. 2005; 128(2):848–54. [ PubMed ] [ Google Scholar]
Lopez MR, Oliveira MA, Pereira VOS, Lemos IPB, Auler JOC, Mishard F. Yuqori xavfli jarrohlik vaqtida puls bosimidagi o’zgarishlarni kuzatishga asoslangan maqsadli suyuqlik boshqaruvi: randomizatsiyalangan nazorat ostida sinov tadqiqoti. Kritik holatlar. 2007; 11 (5): R100. [PMC bepul maqola] [PubMed] [Google Scholar]
Fleischer LA, Fleischmann KE, Auerbach AD, Barnason SA, Beckman JA, Bozkurt B, va boshqalar 2014 Perioperatif Kardiovaskulyar baholash uchun ACC/AHA ko’rsatmalari - qon tomir kasalliklari va yurak bo’lmagan jarrohlikdan o’tgan bemorlarni baholash hisoboti: Amerika Kardiologiya kolleji / Amerika yurak assotsiatsiyasining amaliy ko’rsatmalar bo’yicha ishchi guruhidan. J Am Coll Kardiol. 2014; 64(22):2373–405. [PubMed] [ Google Scholar]
Berlin DA, Bakker J. Starling egri chiziqlari va markaziy venoz bosim. Kritik holatlarda parvarish. 2015; 19 (1):55. [PMC bepul maqola] [PubMed] [Google Scholar]
Marik PE, Baram M, Vohid B. Markaziy venoz bosim infuziyaga reaktsiyasini taxmin qiladimi? Adabiyotni tizimli tizimli tahlili. Ko’krak. 2008; 134:172–78. [ PubMed ] [ Google Scholar]
Hamilton MA, Cecconi M, Rhodes A. Operatsiyadan keyingi natijalarni yaxshilash uchun gemodinamik aralashuvdan foydalanishning tizimli tahlili va meta-tahlili
Karmaniolou I, Petropoulos G, Theodoraki K. Tug’ilganlarda idiyopatik intrakranial gipertenziyani boshqarish: anestetik tahlillar. Can J Anaesth. 2011 yil iyul;58(7):650. [PubMed]
Sitanaya SN, Kamayanti F, Nugroho HA, Prabowo B. İntrakranial bosimning oshishini tahlil qilish uchun ultratovushli optik asab qobig’ining diametrini bosh kompyuter tomografiyasi bilan solishtirish. SAGE Open Med. 2022; 10:20503121221077834. [PMC bepul maqola] [PubMed]
Cannata G, Pezzato S, Esposito S, Moscatelli A. Optik nerv qobig’ining diametrli ultratovush tekshiruvi: og’ir ahvolda bo’lgan pediatrik bemorlarda intrakranial bosimning oshishini baholash uchun invaziv bo’lmagan yondashuv. Diagnostika (Bazel). 2022 yil 21 mart;12(3) [PMC bepul maqola] [PubMed]
Hanafiy MG, Verki MM, Parei SN. Intrakranial bosimning oshishini aniqlash uchun optik nerv qobig’ini ultratovushli baholash. J Med ultratovush. 2019 yil aprel-iyun;27(2):69-74. [PMC bepul maqola] [PubMed]
Dağdelen K, Ekici M. Idiyopatik intrakranial gipertenziyasi bo’lgan bemorlarda ultratovush yordamida optik nerv qobig’ining diametrini o’lchash. Arq Neuropsiquiatr. 2022 yil iyun;80(6):580-585. [PMC bepul maqola] [PubMed]
Korsbæk JJ, Hagen SM, Schytz HW, Vukovich-Cvetkovich V, Wibroe EA, Hamann S, Jensen RH. Transorbital sonografiya: psevdotumor serebri sindromini aniqlash uchun invaziv bo’lmagan skrining vositasi. Sefalalgiya. 2022 yil oktabr;42(11-12):1116-1126. [PubMed]
Vang LJ, Chjan Y, Li C, Liu Y, Dong YN, Cui L, Xing YQ. Ultrasonografik optik nerv qobig’ining diametri intrakranial gipotenziya uchun noinvaziv marker sifatida. Ther Adv Neurol Disord. 2022; 15:17562864211069744. [PMC bepul maqola] [PubMed]
Kalim Z, Siddiqui OA, Nadeem A, Hasan M, Rashid H. Uchinchi darajali tibbiy yordam markazida miya shishi rezektsiyasiga uchragan bemorlarda optik nerv qobig’ining diametri va uning operatsiyadan keyingi regressiyasini baholash. J Neurosci qishloq amaliyoti. 2022 yil aprel;13(2):270-275. [PMC bepul maqola] [PubMed]
Gauthey M, Tessaro MO, Breitbart S, Kulkarni AV, Davis AL. Qorincha shuntlari bo’lgan pediatrik bemorlarda optik nervning ultratovush tekshiruvining ishonchliligi va maqsadga muvofiqligi. Bolalar asab tizimi. 2022 yil iyul;38(7):1289-1295. [PubMed]
Shık N, Ulusoy E, Çitlenbik H, Öztürk A, Er A, Yilmaz D, Duman M. Pediatrik bosh travmasida sonografik optik nerv qobig’i diametri o’lchovlarining roli. J Ultratovush. 2022-yil dekabr;25(4):957-963. [PMC bepul maqola] [PubMed]
Patel R, Chowdhury MAB, Gul S, Fahy BG, Gonsales A, Fitzpatrick D, DePortu G, Weeks E, Elie-Turenne MC, Ocampo S, Ponnaluri S, Pizzi MA. Optik nerv qobig’ining ultratovush diametri va qon tomir natijalari. Crit Care Explor. 2021 yil noyabr;3(11):e0565. [PMC bepul maqola] [PubMed]
Canakchi Y, Koksal O, Durak VA. Bosh og’rig’i bilan tez yordam bo’limiga murojaat qilgan bemorlarda intrakranial bosimning oshishini aniqlashda optik nerv qobig’ining diametrini to’shakda joylashgan ko’z ultratovushli baholash qiymati. Niger J Clin amaliyoti. 2018 yil iyun;21(6):778-782. [PubMed]
Engelbert PR, Palma JK.: ko’z ultratovush uchun yangi vosita. J Emerg Med. 2015 yil avgust;49(2):172-4. [PubMed]
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