Pediatric anesthesia & critical care
A comparison of ultrafast and conventional spectral Doppler ultrasound to measure cerebral blood flow velocity during inguinal hernia repair in infants
Authors' conclusion
It is possible to quantify cortical blood flow velocity during general anesthesia using conventional and ultrafast spectral Doppler cerebral ultrasound.
Study context
- Population
- Infants up to six months of age undergoing inguinal hernia repair under anesthesia
- Participants
- 20 participants
- Exposure
- Ultrafast vs conventional spectral Doppler cerebral ultrasound
- Outcome
- Number of successful measurements (induction, after sevoflurane induction, caudal analgesia, fluid bolus, emergence)
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Usable Doppler images (successful measurements)
Conventional
72/100
72 events
Ultrafast
51/100
51 events
Observational data: associations, not effects.
Further findings
Intraoperative success rate · Intraoperatively
- Intraoperative success rate: 53/60 and 41/60
Cerebral blood flow velocity (end diastolic velocity) after emergence
- Conventional: increased from 2.01 to 2.75 cm/s
- P < 0.001
- Ultrafast: increased from 0.59 to 0.94 cm/s
Cerebral oxygenation after emergence
- Decreased from 85% to 68%
- P < 0.001
Original publication
A comparison of ultrafast and conventional spectral Doppler ultrasound to measure cerebral blood flow velocity during inguinal hernia repair in infants. J Clin Anesth. Published 4 November 2023. doi:10. 1016/ j. jclinane. 2023. 111312
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