Pediatric anesthesia & critical care
Continuous monitoring of cerebral blood flow during general anaesthesia in infants
Authors' conclusion
Continuous monitoring of CBF velocity using NeoDoppler during anaesthesia is feasible and may provide valuable information about cerebral perfusion contributing to a more targeted haemodynamic management in anaesthetised infants.
Study context
- Population
- Infants undergoing noncardiac surgery under GAmedian postmenstrual age 37.6 weeks
- Participants
- 30 infants
- Outcome
- CBF velocity (NeoDoppler via anterior fontanelle) during GA compared with simultaneously measured NIRS, BP and heart rate
Methodological detailsprospective, continuous monitoring
- Prospective
- Continuous monitoring
Main finding
As reported in the abstract
CBF velocity during anaesthesia vs baseline
End-diastolic velocity decreased in all infants, average reduction
59%
Peak systolic velocity reduction
26%
Time-averaged velocity reduction
45%
MAP reduction
20%
Observational data: associations, not effects.
Original publication
Continuous monitoring of cerebral blood flow during general anaesthesia in infants. BJA Open. Published 16 May 2023. doi:10. 1016/ j. bjao. 2023. 100144
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