Yıl 2019, Cilt 5, Sayı 2, Sayfalar 335 - 340 2019-03-04

Comparison of spinal and cerebral oxygen saturation with near-infrared spectroscopy method during spinal surgery in prone position

Gönül Tezcan Keleş [1] , Arzu Açıkel [2] , İsmet Topçu [3] , Cüneyt Temiz [4]

34 176

Objectives: To assess spinal and cerebral oxygenation with near-infrared spectroscopy method during spinal surgery in prone position.

Methods: This prospective study included 64 patients, who were prepared for posterior spinal instrumentation and laminectomy surgeries. Group 1: 31 patients who had posterior spinal instrumentation; Group 2: 33 patients who had at least two levels of disk operation (Laminectomy). The following were recorded for all patients before and after anesthesia induction in supine position, after induction in prone position, during operation (beginning, middle and end of surgery) in prone position and before waking up in supine position: cerebral oxygen saturation (NIRSs) measurements, spinal oxygen saturation (NIRSp) measurements, peripheral oxygen saturation (SpO2), heart rate (HR), invasively monitored systolic arterial pressure (SAP), diastolic arterial pressure (DAP), mean arterial pressure (MAP) values.

Results: There was no significant difference between two groups in terms of the variables of age, weight, anesthesia and surgery duration (p > 0.05). MAP values were significantly different in both groups before induction, during operation and postoperative periods (p < 0.05). NIRSs were significantly lower at mid-operation and at the end of operation (p < 0.05). NIRSp values had no significant difference in any period (p > 0.05). We found no significant difference between groups in HR, SAP, DAP, MAP, NIRSs and NIRSp parameters (p > 0.05) compared at different times.

Conclusions: MAP dropped depending on induction and prone position. Cerebral oxygenation significantly decreased at the time of mid-operation and at the end of operation but spinal oxygenation had no significant decresase. Compared to laminectomy, posterior stabilization surgery did not pose an additional risk to the patients in terms of spinal and oxygen saturation. 

prone position, spinal surgery, cerebral oxygenation, near-infrared spectroscopy
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Orcid: 0000-0002-6879-5124
Yazar: Gönül Tezcan Keleş
Kurum: Department of Anesthesiology and Reanimation, Celal Bayar University School of Medicine, Manisa, Turkey
Ülke: Turkey


Orcid: 0000-0002-6246-9731
Yazar: Arzu Açıkel (Sorumlu Yazar)
Kurum: Department of Anesthesiology and Reanimation, Celal Bayar University School of Medicine, Manisa, Turkey
Ülke: Turkey


Orcid: 0000-0002-2783-2865
Yazar: İsmet Topçu
Kurum: Department of Anesthesiology and Reanimation, Celal Bayar University School of Medicine, Manisa, Turkey
Ülke: Turkey


Orcid: 0000-0002-9479-1426
Yazar: Cüneyt Temiz
Kurum: Department of Neurosurgery, Celal Bayar University School of Medicine, Manisa, Turkey
Ülke: Turkey


Bibtex @araştırma makalesi { eurj371777, journal = {The European Research Journal}, issn = {}, eissn = {2149-3189}, address = {Sağlık Araştırmaları ve Stratejileri Derneği}, year = {2019}, volume = {5}, pages = {335 - 340}, doi = {10.18621/eurj.371777}, title = {Comparison of spinal and cerebral oxygen saturation with near-infrared spectroscopy method during spinal surgery in prone position}, key = {cite}, author = {Tezcan Keleş, Gönül and Açıkel, Arzu and Topçu, İsmet and Temiz, Cüneyt} }
APA Tezcan Keleş, G , Açıkel, A , Topçu, İ , Temiz, C . (2019). Comparison of spinal and cerebral oxygen saturation with near-infrared spectroscopy method during spinal surgery in prone position. The European Research Journal, 5 (2), 335-340. DOI: 10.18621/eurj.371777
MLA Tezcan Keleş, G , Açıkel, A , Topçu, İ , Temiz, C . "Comparison of spinal and cerebral oxygen saturation with near-infrared spectroscopy method during spinal surgery in prone position". The European Research Journal 5 (2019): 335-340 <http://dergipark.gov.tr/eurj/issue/41339/371777>
Chicago Tezcan Keleş, G , Açıkel, A , Topçu, İ , Temiz, C . "Comparison of spinal and cerebral oxygen saturation with near-infrared spectroscopy method during spinal surgery in prone position". The European Research Journal 5 (2019): 335-340
RIS TY - JOUR T1 - Comparison of spinal and cerebral oxygen saturation with near-infrared spectroscopy method during spinal surgery in prone position AU - Gönül Tezcan Keleş , Arzu Açıkel , İsmet Topçu , Cüneyt Temiz Y1 - 2019 PY - 2019 N1 - doi: 10.18621/eurj.371777 DO - 10.18621/eurj.371777 T2 - The European Research Journal JF - Journal JO - JOR SP - 335 EP - 340 VL - 5 IS - 2 SN - -2149-3189 M3 - doi: 10.18621/eurj.371777 UR - http://dx.doi.org/10.18621/eurj.371777 Y2 - 2018 ER -
EndNote %0 The European Research Journal Comparison of spinal and cerebral oxygen saturation with near-infrared spectroscopy method during spinal surgery in prone position %A Gönül Tezcan Keleş , Arzu Açıkel , İsmet Topçu , Cüneyt Temiz %T Comparison of spinal and cerebral oxygen saturation with near-infrared spectroscopy method during spinal surgery in prone position %D 2019 %J The European Research Journal %P -2149-3189 %V 5 %N 2 %R doi: 10.18621/eurj.371777 %U 10.18621/eurj.371777
ISNAD Tezcan Keleş, Gönül , Açıkel, Arzu , Topçu, İsmet , Temiz, Cüneyt . "Comparison of spinal and cerebral oxygen saturation with near-infrared spectroscopy method during spinal surgery in prone position". The European Research Journal 5 / 2 (Mart 2019): 335-340. http://dx.doi.org/10.18621/eurj.371777