RESUMO
Total intravenous anesthesia with diprivan and inhaled sevoflurane was assessed in 130 patients undergoing carotid endartectomy. The parameters of hemodynamics and cerebral circulation and the markers of brain lesion were studied. Sevoflurane anesthesia was shown to induce less depression of hemodynamic parameters and to maintain the more optimal level of cerebral circulation, limiting brain ischemic and reperfusion lesions and causing a fewer number of postoperative complications.
Assuntos
Anestesia por Inalação/métodos , Anestesia Intravenosa/métodos , Estenose das Carótidas/cirurgia , Endarterectomia das Carótidas/métodos , Idoso , Anestésicos Inalatórios , Anestésicos Intravenosos , Biomarcadores/sangue , Encéfalo/irrigação sanguínea , Encéfalo/efeitos dos fármacos , Encéfalo/metabolismo , Estenose das Carótidas/complicações , Circulação Cerebrovascular/efeitos dos fármacos , Feminino , Humanos , Masculino , Éteres Metílicos , Pessoa de Meia-Idade , Monitorização Fisiológica , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/metabolismo , Complicações Pós-Operatórias/fisiopatologia , Propofol , Sevoflurano , Resultado do TratamentoRESUMO
Total intravenous anesthesia with propofol and inhalation sevofluran was assessed in 130 patients with carotid endarterectomy. The parameters of brain blood circulation, brain damage markers were studied. It was shown that sevofluran anesthesia caused less depression of the hemodynamic parameters, supported more optimum level of brain blood flow that limited ischemic and reperfusion damage of the brain and was accompanied by a fewer number of postoperative complications.
