Hemodynamics, fluids & transfusion

Effects of ephedrine and phenylephrine on cerebral oxygenation: observational prospective study using near-infrared time-resolved spectroscopy

J Clin Monit ComputPublished Prospective observational study

Authors' conclusion

The changes in ScO2 and tHb after treatments with ephedrine and phenylephrine were very small and clinically insignificant when measured by TRS.

Study context

Population
Patients during laparoscopic surgery
Participants
50 treatments
Exposure
Changes in ScO2 and tHb after ephedrine or phenylephrine
Outcome
Changes in cerebral oxygenation (ScO2) and total cerebral hemoglobin concentration (tHb) measured by time-resolved spectroscopy (TRS)
Methodological detailstime-resolved spectroscopy, mixed-effects model
  • Time-resolved spectroscopy
  • Mixed-effects model

Main finding

As reported in the abstract

ScO2 and tHb changes
  • Mean differences of ScO2 less than 0.1% for the two drugs
  • Predicted mean differences of ScO2 less than 1.1%
  • Mean differences of tHb less than 0.02 μM for the drugs
  • Predicted mean differences of tHb less than 0.2 μM
  • Mixed-effects model with random intercepts including mean BP; predicted differences using IQR of mean BP

Observational data: associations, not effects.

Original publication

Effects of ephedrine and phenylephrine on cerebral oxygenation: observational prospective study using near-infrared time-resolved spectroscopy. J Clin Monit Comput. Published 27 May 2023. doi:10.1007/s10877-023-01036-y

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.