TY - CHAP
T1 - A Case Report of Changes in Regional Cortical Blood Volume and Oxygenation During Induction of General Anaesthesia with Sevoflurane Versus Propofol in a Paediatric Moyamoya Disease, Evaluated by Near-Infrared Spectroscopy
AU - Hirose, Noriya
AU - Tomita, Yuko
AU - Matsui, Miki
AU - Kijima, Miho
AU - Maeda, Takeshi
AU - Suzuki, Takahiro
N1 - Publisher Copyright:
© Oxygen Transport to Tissue International 2024.
PY - 2024
Y1 - 2024
N2 - A safe induction method of general anaesthesia for paediatric moyamoya disease patients has not been fully established. We had the opportunity to administer general anaesthesia twice to a two-year-old girl diagnosed with moyamoya disease. We used different induction methods for general anaesthesia at each session, i.e. slow induction with sevoflurane and rapid induction with propofol, and were able to evaluate changes in her left regional cortical blood volume (rCBV) and oxygenation (rCBO) during both anaesthesia inductions using near-infrared spectroscopy (NIRS). The mean change value of total-Hb (rCBV) (mean ± SD; μmol/L) in the rapid induction was lower than that in the slow induction (−0.54 ± 1.43 vs. 1.82 ± 1.74). However, the TOI (rCBO) levels during both anaesthesia inductions were constantly higher than these respective baseline values (64% in the slow induction, 71% in the rapid induction), and these mean change values in each of the anaesthesia induction were about the same. The present results suggested that both the slow induction method with sevoflurane and the rapid induction method with propofol might be safe and effective for anaesthesia induction in paediatric patients with moyamoya disease.
AB - A safe induction method of general anaesthesia for paediatric moyamoya disease patients has not been fully established. We had the opportunity to administer general anaesthesia twice to a two-year-old girl diagnosed with moyamoya disease. We used different induction methods for general anaesthesia at each session, i.e. slow induction with sevoflurane and rapid induction with propofol, and were able to evaluate changes in her left regional cortical blood volume (rCBV) and oxygenation (rCBO) during both anaesthesia inductions using near-infrared spectroscopy (NIRS). The mean change value of total-Hb (rCBV) (mean ± SD; μmol/L) in the rapid induction was lower than that in the slow induction (−0.54 ± 1.43 vs. 1.82 ± 1.74). However, the TOI (rCBO) levels during both anaesthesia inductions were constantly higher than these respective baseline values (64% in the slow induction, 71% in the rapid induction), and these mean change values in each of the anaesthesia induction were about the same. The present results suggested that both the slow induction method with sevoflurane and the rapid induction method with propofol might be safe and effective for anaesthesia induction in paediatric patients with moyamoya disease.
KW - Anaesthesia induction
KW - Cortical circulation
KW - General anaesthesia
KW - Near-infrared spectroscopy
KW - Paediatric moyamoya disease
UR - http://www.scopus.com/inward/record.url?scp=85206281423&partnerID=8YFLogxK
U2 - 10.1007/978-3-031-67458-7_9
DO - 10.1007/978-3-031-67458-7_9
M3 - Chapter
C2 - 39400799
AN - SCOPUS:85206281423
T3 - Advances in Experimental Medicine and Biology
SP - 51
EP - 55
BT - Advances in Experimental Medicine and Biology
PB - Springer
ER -