Journal article

A Pilot study to determine whether visually evoked hemodynamic responses are preserved in children during inhalational anesthesia

Thushara Perera, Philip M Lewis, Andrew J Davidson, Paul Junor, Stephen Bottrell

PEDIATRIC ANESTHESIA | WILEY-BLACKWELL | Published : 2015

Abstract

BACKGROUND: Anesthetic depth is an important parameter to monitor during surgery, yet remains difficult to quantify, particularly in young children where developmental changes influence the electroencephalogram. A more fundamental physiological response to stimulation is the increase in cerebral blood flow secondary to increased metabolic demand, referred to as flow-metabolism coupling (FMC) and measurable using near-infrared spectroscopy (NIRS). Little is known about the effect of anesthesia on FMC; therefore, we studied visually evoked hemodynamic responses (VEHRs) using NIRS in children undergoing general anesthesia for minor surgical procedures. METHOD: We recruited 23 children (aged 2-5..

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