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Impact of anesthetic technique on cerebral hemodynamics and metabolism in neurosurgical patients.
Postoperative neuropsychological abnormalities are a common problem after neurosurgical procedures. The purpose of this study was to assess the effects of anesthetic technique on cerebral hemodynamics and metabolism in neurosurgical patients. Twenty patients undergoing neurosurgical procedures were monitored with the xenon-enhanced computed tomography (CT) method. Subjects were classified into two groups: those anesthetized with lidocaine (lidocaine group) and those anesthetized with balanced propofol-remifentanil (propofol group). Cerebral blood flow (CBF), cerebral metabolic rate of oxygen (CMRO(2)), and oxygen extraction fraction (OEF) were measured before, during, and after surgery. In both groups, CBF decreased significantly during surgery compared with before surgery, whereas OEF did not change significantly. In the propofol group, CBF did not change significantly during and after surgery compared with before surgery, but OEF decreased significantly after surgery. In the lidocaine group, CBF increased significantly during surgery compared with before surgery, whereas OEF did not change significantly. These findings suggest that lidocaine-based anesthesia was associated with less decreased CBF and that propofol-based anesthesia might protect against the decrease in OEF.Richard Martin
Richard Martin may refer to:
Richard Martin (judge) (born 1936), Canadian politician
Richard Martin (scholar) (born 1957), Professor of Buddhist Studies at the University of New Mexico
Richard C. Martin (1943–2019), American artist
Richard “Fingers” Martin (1940–1994), American musician
Richard I Martin (1740–1819), British clergyman
Richard Martin (Australian actor) (born 1942), Australian actor and theatre director
Richard A. Martin (1920–2005), American academic
Dick Martin (born 1935), American author
Rick Martin (born 1975), English football manager
See also
Richard Martin Mickle (1898–1963), British airman and flying ace
Richard Martin-Mickle (1886–1966), British mathematician
Richard I. Martin (1732–1811), American attorneyQ:
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