Effects of Ultrasound-guided Stellate Ganglion Block on Cerebral Oxygen Metabolism and Postoperative Cognitive Dysfunction in the Elderly_Journal of Biomedical Engineering

Authors：

ZHANGYuan , CHENGHao , XUChenjie ,  BAOHongguang , SHIHongwei , GEYali , WEIHaiyan

Nanjing First Hospital of Nanjing Medical University, Nanjing 210006, China;

Corresponding author：

BAOHongguang, Email: Hongguang_Bao@hotmail.com

Keywords：

the elderly; cognitive dysfunction; cerebral oxygen metabolism; stellate ganglion; ultrasound

DOI：

10.7507/1001-5515.20140208

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

To observe the effects of ultrasound-guided stellate ganglion block (SGB) on cerebral oxygen metabolism and postoperative cognitive dysfunction (POCD) of elderly patients, we collected 80 elderly patients undergoing selective coronary artery bypass graft under cardiopulmonary bypass. The Mini Mental State Examination (MMSE) was applied to test the cognitive function. The SjvO₂, Da-jvO₂ and CEO₂ were used for the analysis of the cerebral oxygen metabolism. We found that POCD was related to disequilibrium of cerebral oxygen metabolism. Ultrasound-guided SGB before surgery reduced the incidence of POCD because of the improvement of cerebral oxygen metabolism.

Citation： ZHANGYuan, CHENGHao, XUChenjie, BAOHongguang, SHIHongwei, GEYali, WEIHaiyan. Effects of Ultrasound-guided Stellate Ganglion Block on Cerebral Oxygen Metabolism and Postoperative Cognitive Dysfunction in the Elderly. Journal of Biomedical Engineering, 2014, 31(5): 1107-1110. doi: 10.7507/1001-5515.20140208 Copy

1.	EVERED L,SCOTT D A,SILBERT B,et al.Postoperative cognitive dysfunction is independent of type of surgery and anesthetic[J].Anesth Analg, 2011,112(5):1179-1185.
2.	穆东亮,王东信,李立环,等.冠状动脉旁路移植手术后早期谵妄与认知功能障碍的关系[J].北京大学学报(医学版), 2011,43(2):242-249.
3.	李兴,闻大翔,陈杰,等.老年患者术后认知功能障碍发生率及相关因素的多中心研究[J].临床麻醉学杂志,2009,25(8):652-654.
4.	LIU Y H,WANG D X,LI L H,et al.The effects of cardiopulmonary bypass on the number of cerebral microemboli and the incidence of cognitive dysfunction after coronary artery bypass graft surgery[J].Anesth Analg, 2009,109(4):1013-1022.
5.	邓芳,张勇军,卫法泉.星状神经节阻滞作用的临床研究进展[J].中国疼痛医学杂志,2010,16(5):300-301.
6.	梅波,赖应龙.体外循环脑损伤及脑保护研究进展[J].中国体外循环杂志, 2010, 8(2): 125-128.
7.	SASAKI T,BONI L,RIEMER R K, et al.Cerebral oxygen metabolism during total body flow and antegrade cerebral perfusion at deep and moderate hypothermia[J]. Artif Organs, 2010,34(11):980-986.
8.	陈黔,陈学军,岑燕遗,等.星状神经节阻滞对脑血流速度的影响[J].中国临床康复,2006,10(18):182-186.

1. EVERED L,SCOTT D A,SILBERT B,et al.Postoperative cognitive dysfunction is independent of type of surgery and anesthetic[J].Anesth Analg, 2011,112(5):1179-1185.
2. 穆东亮,王东信,李立环,等.冠状动脉旁路移植手术后早期谵妄与认知功能障碍的关系[J].北京大学学报(医学版), 2011,43(2):242-249.
3. 李兴,闻大翔,陈杰,等.老年患者术后认知功能障碍发生率及相关因素的多中心研究[J].临床麻醉学杂志,2009,25(8):652-654.
4. LIU Y H,WANG D X,LI L H,et al.The effects of cardiopulmonary bypass on the number of cerebral microemboli and the incidence of cognitive dysfunction after coronary artery bypass graft surgery[J].Anesth Analg, 2009,109(4):1013-1022.
5. 邓芳,张勇军,卫法泉.星状神经节阻滞作用的临床研究进展[J].中国疼痛医学杂志,2010,16(5):300-301.
6. 梅波,赖应龙.体外循环脑损伤及脑保护研究进展[J].中国体外循环杂志, 2010, 8(2): 125-128.
7. SASAKI T,BONI L,RIEMER R K, et al.Cerebral oxygen metabolism during total body flow and antegrade cerebral perfusion at deep and moderate hypothermia[J]. Artif Organs, 2010,34(11):980-986.
8. 陈黔,陈学军,岑燕遗,等.星状神经节阻滞对脑血流速度的影响[J].中国临床康复,2006,10(18):182-186.

Journal of Biomedical Engineering

Effects of Ultrasound-guided Stellate Ganglion Block on Cerebral Oxygen Metabolism and Postoperative Cognitive Dysfunction in the Elderly

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content