• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

31 例行全内镜脊柱手术患者的无创颅内压谱。

Noninvasive intracranial pressure profile in 31 patients submitted to fullendoscopic spine surgery.

机构信息

Universidade de São Paulo - Faculdade de Medicina de Ribeirão Preto - Departmento de Cirurgia e Anatomia - Ribeirão Preto (SP) - Brazil.

出版信息

Acta Cir Bras. 2024 Sep 20;39:e396424. doi: 10.1590/acb396424. eCollection 2024.

DOI:10.1590/acb396424
PMID:39319901
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11414522/
Abstract

PURPOSE

Full-endoscopic spine surgery (FESS) is associated with specific complications, possibly linked to increased intracranial pressure (ICP) resulting from continuous saline infusion into the epidural space. This study aimed to assess the impact of saline irrigation and its correlation with noninvasively obtained ICP waveform changes.

METHODS

Patients undergoing FESS between January 2019 and November 2020 were included. Noninvasive ICP (n-ICP) monitoring utilized an extracranial strain sensor generating ICP waveforms, from which parameters P2/P1 ratio and time to peak (TTP) values were derived and correlated to irrigation and vital parameters. Documentation occurred at specific surgical intervals (M0-preoperatively; M1 to M4-intraoperatively; M5-postoperatively). Mixed-model analysis of variance and multiple comparisons tests were applied, with M0 as the baseline.

RESULTS

Among 31 enrolled patients, three experienced headaches unrelated to increased ICP at M5. The P2/P1 ratio and TTP decreased during surgery (p < 0.001 and p < 0.004, respectively). Compared to baseline, P2/P1 ratio and vital parameters remained significantly lower at M5. No significant differences were observed for fluid parameters throughout surgery.

CONCLUSIONS

This study demonstrated a decline in the n-ICP parameters after anesthetic induction despite the anticipated increase in ICP due to constant epidural irrigation. The n-ICP parameters behaved independently of fluid parameters, suggesting a potential protective effect of anesthesia.

摘要

目的

全内镜脊柱手术（FESS）与特定并发症相关，这些并发症可能与由于持续向硬膜外腔注入生理盐水而导致的颅内压（ICP）升高有关。本研究旨在评估盐水冲洗的影响及其与非侵入性获得的 ICP 波形变化的相关性。

方法

纳入 2019 年 1 月至 2020 年 11 月期间接受 FESS 的患者。非侵入性 ICP（n-ICP）监测使用外部颅内应变传感器生成 ICP 波形，从中得出 P2/P1 比值和波峰时间（TTP）值，并与冲洗和生命参数相关联。记录发生在特定手术间隔（M0-术前；M1 到 M4-术中；M5-术后）。采用混合模型方差分析和多重比较检验，以 M0 作为基线。

结果

在 31 名入组患者中，有 3 名患者在 M5 时出现与 ICP 升高无关的头痛。术中 P2/P1 比值和 TTP 降低（p<0.001 和 p<0.004）。与基线相比，M5 时 P2/P1 比值和生命参数仍显著降低。整个手术过程中，液体参数没有显著差异。

结论

尽管由于持续硬膜外冲洗预计 ICP 会升高，但本研究在麻醉诱导后显示 n-ICP 参数下降。n-ICP 参数与液体参数无关，提示麻醉可能具有潜在的保护作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c408/11414522/c7bb797db98e/1678-2674-acb-39-e396424-gf05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c408/11414522/7b197eba95fc/1678-2674-acb-39-e396424-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c408/11414522/b7e02983db75/1678-2674-acb-39-e396424-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c408/11414522/4b876faadd31/1678-2674-acb-39-e396424-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c408/11414522/699a85e93273/1678-2674-acb-39-e396424-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c408/11414522/c7bb797db98e/1678-2674-acb-39-e396424-gf05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c408/11414522/7b197eba95fc/1678-2674-acb-39-e396424-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c408/11414522/b7e02983db75/1678-2674-acb-39-e396424-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c408/11414522/4b876faadd31/1678-2674-acb-39-e396424-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c408/11414522/699a85e93273/1678-2674-acb-39-e396424-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c408/11414522/c7bb797db98e/1678-2674-acb-39-e396424-gf05.jpg

相似文献

1
Noninvasive intracranial pressure profile in 31 patients submitted to fullendoscopic spine surgery.31 例行全内镜脊柱手术患者的无创颅内压谱。
Acta Cir Bras. 2024 Sep 20;39:e396424. doi: 10.1590/acb396424. eCollection 2024.
2
Intracranial Pressure Evaluation in Swine During Full-Endoscopic Lumbar Spine Surgery.猪全内镜腰椎手术期间的颅内压评估
World Neurosurg. 2023 Nov;179:e557-e567. doi: 10.1016/j.wneu.2023.09.001. Epub 2023 Sep 9.
3
Waveform Morphology as a Surrogate for ICP Monitoring: A Comparison Between an Invasive and a Noninvasive Method.波形形态作为 ICP 监测的替代指标：一种有创与无创方法的比较。
Neurocrit Care. 2022 Aug;37(1):219-227. doi: 10.1007/s12028-022-01477-4. Epub 2022 Mar 24.
4
Can a new noninvasive method for assessment of intracranial pressure predict intracranial hypertension and prognosis?一种新的评估颅内压的非侵入性方法能否预测颅内高压和预后？
Acta Neurochir (Wien). 2023 Jun;165(6):1495-1503. doi: 10.1007/s00701-023-05580-z. Epub 2023 Apr 15.
5
Multimodal monitoring intracranial pressure by invasive and noninvasive means.采用有创和无创手段进行颅内压的多模态监测。
Sci Rep. 2023 Oct 27;13(1):18404. doi: 10.1038/s41598-023-45834-5.
6
Safety and efficacy of combined epidural/general anesthesia during major abdominal surgery in patients with increased intracranial pressure: a cohort study.颅内压升高患者在腹部大手术中联合硬膜外麻醉/全身麻醉的安全性和有效性：一项队列研究。
BMC Anesthesiol. 2015 May 15;15:76. doi: 10.1186/s12871-015-0056-2.
7
Comparative study of neck pain in relation to increase of cervical epidural pressure during percutaneous endoscopic lumbar discectomy.经皮内镜下腰椎间盘切除术期间颈部疼痛与颈椎硬膜外压力增加关系的比较研究
Spine (Phila Pa 1976). 2009 Sep 1;34(19):2033-8. doi: 10.1097/BRS.0b013e3181b20250.
8
The Effect of Speed of Normal Saline Injection on Optic Nerve Sheath Diameter in Thoracic Epidural Anesthesia.生理盐水注射速度对胸椎硬膜外麻醉视神经鞘直径的影响。
Pain Physician. 2019 Jul;22(4):E325-E332.
9
Pressure inside the neuroendoscope: correlation with epidural intracranial pressure during neuroendoscopic procedures.神经内镜内的压力：与神经内镜手术期间硬膜外颅内压的相关性。
J Neurosurg Anesthesiol. 2010 Jul;22(3):240-6. doi: 10.1097/ANA.0b013e3181dbe1cc.
10
A Novel Noninvasive Technique for Intracranial Pressure Waveform Monitoring in Critical Care.一种用于重症监护中颅内压波形监测的新型无创技术。
J Pers Med. 2021 Dec 5;11(12):1302. doi: 10.3390/jpm11121302.

本文引用的文献

1
Intracranial Pressure Evaluation in Swine During Full-Endoscopic Lumbar Spine Surgery.猪全内镜腰椎手术期间的颅内压评估
World Neurosurg. 2023 Nov;179:e557-e567. doi: 10.1016/j.wneu.2023.09.001. Epub 2023 Sep 9.
2
Can a new noninvasive method for assessment of intracranial pressure predict intracranial hypertension and prognosis?一种新的评估颅内压的非侵入性方法能否预测颅内高压和预后？
Acta Neurochir (Wien). 2023 Jun;165(6):1495-1503. doi: 10.1007/s00701-023-05580-z. Epub 2023 Apr 15.
3
Food and Nutrition Public Policies in Brazil: From Malnutrition to Obesity.
巴西的食品和营养公共政策：从营养不良到肥胖。
Nutrients. 2022 Jun 15;14(12):2472. doi: 10.3390/nu14122472.
4
The use of a noninvasive intracranial pressure monitoring method in the intensive care unit to improve neuroprotection in postoperative cardiac surgery patients after extracorporeal circulation.在体外循环心脏手术后的重症监护病房中使用非侵入性颅内压监测方法以改善神经保护。
Rev Bras Ter Intensiva. 2021 Jul-Sep;33(3):469-476. doi: 10.5935/0103-507X.20210066.
5
Intracranial Compliance Assessed by Intracranial Pressure Pulse Waveform.通过颅内压脉搏波形评估颅内顺应性。
Brain Sci. 2021 Jul 23;11(8):971. doi: 10.3390/brainsci11080971.
6
Use of non-invasive intracranial pressure pulse waveform to monitor patients with End-Stage Renal Disease (ESRD).使用非侵入性颅内压脉冲波型监测终末期肾病（ESRD）患者。
PLoS One. 2021 Jul 22;16(7):e0240570. doi: 10.1371/journal.pone.0240570. eCollection 2021.
7
Obesity and its implications on cerebral circulation and intracranial compliance in severe COVID-19.肥胖及其对重症 COVID-19 患者脑循环和颅内顺应性的影响。
Obes Sci Pract. 2021 May 27;7(6):751-759. doi: 10.1002/osp4.534. eCollection 2021 Dec.
8
Intracranial pressure and laboratory parameters in high- and low-risk pregnant women.高危和低危孕妇的颅内压及实验室参数
Surg Neurol Int. 2021 May 31;12:250. doi: 10.25259/SNI_109_2021. eCollection 2021.
9
Cerebral Hemodynamics and Intracranial Compliance Impairment in Critically Ill COVID-19 Patients: A Pilot Study.重症 COVID-19 患者的脑血流动力学和颅内顺应性损害：一项初步研究。
Brain Sci. 2021 Jun 30;11(7):874. doi: 10.3390/brainsci11070874.
10
Noninvasive Intracranial Pressure Monitoring in Chronic Stroke Patients with Sedentary Behavior: A Pilot Study.慢性卧床脑卒中患者的无创颅内压监测：一项初步研究。
Acta Neurochir Suppl. 2021;131:55-58. doi: 10.1007/978-3-030-59436-7_12.