지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2008.3
- 수록면
- 51 - 57 (7page)
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초록· 키워드
오류제보하기
Purpose: Deterioration of consciousness is the most critical problem in patients with fulminant hepatic failure (FHF). Electroencephalography (EEG) is a standard procedure to determine the brain activity in unconscious patients. The bispectral (BIS) index derived from EEG was primarily developed to monitor the depth of unconsciousness.
Methods: A prospective study was performed to assess the clinical utility of peritransplant BIS monitoring in 11 fulminant hepatic failure (FHF) patients who were undergoing emergency living donor liver transplantation (LT) with using a right liver graft. All the patients recovered their consciousness after LT.
Results: There was a significant correlation between the BIS index values and the derived GCS score (r2=0.634, p <0.001). Timing of eye opening to voice command matched the BIS index value of 64±9.5, which was after 14±9.4 hours passing BIS index of 50. All the patients with endotracheal intubation during the early posttransplant period showed progressive increase of their BIS index, which appeared slightly earlier and more evident than the rise of derived GCS scores.
Conclusion: BIS monitoring is a noninvasive, simple and easy-to-interpret method and it also appears to be a useful to assess and predict the recovery of a patient’s consciousness level after LT. Therefore, we concluded that BIS monitoring can be an indispensable component of the peritransplant intensive care for patients with FHF and who require emergency LT.
Methods: A prospective study was performed to assess the clinical utility of peritransplant BIS monitoring in 11 fulminant hepatic failure (FHF) patients who were undergoing emergency living donor liver transplantation (LT) with using a right liver graft. All the patients recovered their consciousness after LT.
Results: There was a significant correlation between the BIS index values and the derived GCS score (r2=0.634, p <0.001). Timing of eye opening to voice command matched the BIS index value of 64±9.5, which was after 14±9.4 hours passing BIS index of 50. All the patients with endotracheal intubation during the early posttransplant period showed progressive increase of their BIS index, which appeared slightly earlier and more evident than the rise of derived GCS scores.
Conclusion: BIS monitoring is a noninvasive, simple and easy-to-interpret method and it also appears to be a useful to assess and predict the recovery of a patient’s consciousness level after LT. Therefore, we concluded that BIS monitoring can be an indispensable component of the peritransplant intensive care for patients with FHF and who require emergency LT.
목차
서론
방법
결과
고찰
결론
참고문헌
참고문헌 (27)
참고문헌 신청
1. [학술지(정기간행물)] - Martinez-Manas RM / 2000 / Camino intracranial pressure monitor: prospective study of accuracy and complications / J Neurol Neurosurg Psychiatry 69 : 82 ~ 86
2. [학술지(정기간행물)] - Sidi A / 1995 / Noninvasive monitoring of cerebral perfusion by transcranial Doppler during fulminant hepatic failure and liver transplantation / Anesth Analg 80 : 194 ~ 200
3. [학술지(정기간행물)] - Aggarwal S / 2005 / Cerebral hemodynamic and metabolic profiles in fulminant hepatic failure: relationship to outcome / Liver Transpl 11 : 1353 ~ 1360
4. [학술지(정기간행물)] - Raghavan M / 2006 / Therapy of intracranial hypertension in patients with fulminant hepatic failure / Neurocrit Care 4 : 179 ~ 189
5. [학술지(정기간행물)] - Lu A / 2002 / Liver transplantation for fulminant hepatitis at Stanford University / J Gastroenterol 37 (13) : 82 ~ 87
2. [학술지(정기간행물)] - Sidi A / 1995 / Noninvasive monitoring of cerebral perfusion by transcranial Doppler during fulminant hepatic failure and liver transplantation / Anesth Analg 80 : 194 ~ 200
3. [학술지(정기간행물)] - Aggarwal S / 2005 / Cerebral hemodynamic and metabolic profiles in fulminant hepatic failure: relationship to outcome / Liver Transpl 11 : 1353 ~ 1360
4. [학술지(정기간행물)] - Raghavan M / 2006 / Therapy of intracranial hypertension in patients with fulminant hepatic failure / Neurocrit Care 4 : 179 ~ 189
5. [학술지(정기간행물)] - Lu A / 2002 / Liver transplantation for fulminant hepatitis at Stanford University / J Gastroenterol 37 (13) : 82 ~ 87
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UCI(KEPA) : I410-ECN-0101-2014-514-001248260