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.

Noriya Hirose, Yuko Tomita, Miki Matsui, Miho Kijima, Takeshi Maeda, Takahiro Suzuki

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Article in Advances in experimental medicine and biology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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Noriya HiroseDivision of Anesthesiology, Department of Anesthesiology, Nihon University School of Medicine, Tokyo, Japan. hirose.noriya@nihon-u.ac.jp.

Yuko TomitaDivision of Anesthesiology, Department of Anesthesiology, Nihon University School of Medicine, Tokyo, Japan.

Miki MatsuiDivision of Anesthesiology, Department of Anesthesiology, Nihon University School of Medicine, Tokyo, Japan.

Miho KijimaDivision of Anesthesiology, Department of Anesthesiology, Nihon University School of Medicine, Tokyo, Japan.

Takeshi MaedaDivision of Anesthesiology, Department of Anesthesiology, Nihon University School of Medicine, Tokyo, Japan.

Takahiro SuzukiDivision of Anesthesiology, Department of Anesthesiology, Nihon University School of Medicine, Tokyo, Japan.

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Abstract

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.

Indexed as

Anesthesia, GeneralMoyamoya DiseasePropofolSevofluraneSpectroscopy, Near-InfraredAnesthetics, InhalationAnesthetics, IntravenousBlood VolumeCerebral CortexCerebrovascular CirculationChild, PreschoolFemaleHumansMethyl EthersOxygenAnesthetics, InhalationAnesthetics, IntravenousMethyl EthersOxygenPropofolSevofluraneAnaesthesia inductionCortical circulationGeneral anaesthesiaNear-infrared spectroscopyPaediatric moyamoya disease

Identifiers

PMID39400799

DOI10.1007/BF03013003

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