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Child's Nervous System
Published in: Child's Nervous System 3/2006

01-03-2006 | Original Paper

Hemodynamic and electrolyte changes in patients undergoing neuroendoscopic procedures

Authors: Abdürrahim Derbent, Yusuf Erşahin, Taşkın Yurtseven, Tuncer Turhan

Published in: Child's Nervous System | Issue 3/2006

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Abstract

Objects

Intraoperative hemodynamic alterations and postoperative electrolyte disturbances related to endoscopic third ventriculostomy (E3V) have been reported. We aimed to evaluate prospectively those changes in patients undergoing neuroendoscopic procedures.

Methods

This study was carried out in 24 patients who underwent neuroendoscopic intervention. Sevoflurane was used for the induction and maintenance of anesthesia. Heart rate (HR), mean arterial pressure (MAP), peripheral oxygen saturation, end-tidal CO2, and body temperature values were recorded according to the stages of the operation. Blood gas and blood chemistry analyses were performed before and after endoscopic procedure and were repeated on the third postoperative day.

Conclusions

There were no significant differences in intraoperative HR and MAP. Bradycardia occurred only in 1 of the 24 patients during the dilatation. In conclusion, we suggest the use of 0.9% NaCl for intravenous fluid replacement and a warm lactated ringer solution for ventricular irrigation during E3V to prevent intraoperative hemodynamic changes and postoperative electrolyte disturbances.
Literature
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Anandh B, Madhusudan Reddy KR, Mohanty A, Umamaheswara Rao GS, Chandramouli BA (2002) Intraoperative bradycardia and postoperative hyperkalemia in patients undergoing endoscopic third ventriculostomy. Minim Invasive Neurosurg 45:154–157PubMedCrossRef
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Baykan N, Isbir O, Gerçek A, Dağçınar A, Özek MM (2005) Ten years experience with pediatric neuroendoscopic third ventriculostomy. Features and perioperative complications of 210 cases. J Neurosurg Anesthesiol 17:33–37PubMed
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Bisnotte B, Armstrong DC, Rutka JT (1997) Pediatric neuroanesthesia. In: Albin MS (ed) Textbook of neuroanesthesia. McGraw-Hill, New York, pp 1177–1246
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Metadata
Title
Hemodynamic and electrolyte changes in patients undergoing neuroendoscopic procedures
Authors
Abdürrahim Derbent
Yusuf Erşahin
Taşkın Yurtseven
Tuncer Turhan
Publication date
01-03-2006
Publisher
Springer-Verlag
Published in
Child's Nervous System / Issue 3/2006
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-005-1244-z

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