Laser speckle contrast imaging for quantitative assessment of facial flushing during mesenteric traction syndrome in upper gastrointestinal surgery.
The mesenteric traction syndrome (MTS) is associated with prostacyclin (PGI2) facilitated systemic vasodilatation during surgery and is identified by facial flushing. We hypothesized that severe facial flushing would be related to the highest concentrations of plasma PGI2 and accordingly to the high...
| Publicado en: | Journal of Clinical Monitoring & Computing Vol. 33; no. 5; pp. 903 - 911 |
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| Autores principales: | , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
Springer Nature
Oct2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=138298841&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 138298841 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13871307 OHC jtl: Journal of Clinical Monitoring & Computing issn: 13871307 maglogo: N pubinfo: dt: Oct2019 vid: 33 iid: 5 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 138298841 138298841 144074356 NLM30460600 10.1007/s10877-018-0226-0 NLM30460600 138298841 ppf: 903 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Laser speckle contrast imaging for quantitative assessment of facial flushing during mesenteric traction syndrome in upper gastrointestinal surgery. aug: au: Ring, Linea L. Strandby, Rune B. Henriksen, Amalie Ambrus, Rikard Sørensen, Henrik Gøtze, Jens P. Svendsen, Lars B. Achiam, Michael P. affil: Department of Surgical Gastroenterology, Rigshospitalet, Copenhagen University Hospital, Inge Lehmanns Vej 7, 2100, Copenhagen Ø, Denmark sug: subj: Surgery, Digestive System Adverse Effects Gastrointestinal System Surgery Gastrointestinal Neoplasms Surgery Symptoms Epoprostenol Blood Intraoperative Monitoring Methods Arteries Pathology Syndrome Stomach Surgery Male Aged Pancreas Surgery Female Vascular Resistance Gastrointestinal Neoplasms Complications Lasers Skin Blood Supply Face Adolescence Adult Liver Surgery Young Adult Middle Age Postoperative Complications Hemodynamics Anesthesia Vasodilation Aged: 65+ years Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: The mesenteric traction syndrome (MTS) is associated with prostacyclin (PGI2) facilitated systemic vasodilatation during surgery and is identified by facial flushing. We hypothesized that severe facial flushing would be related to the highest concentrations of plasma PGI2 and accordingly to the highest levels of skin blood flow measured by laser speckle contrast imaging (LSCI). Patients scheduled for major upper abdominal surgery were consecutively included. Within the first hour of the procedure, facial flushing was scored according to a standardized scale, and skin blood flow (LSPU) was continuously measured on the forehead and the cheeks by LSCI. Arterial blood samples for 6-keto-PGF1α (stable metabolite of PGI2) and hemodynamic variables were obtained at defined time points. Overall, 66 patients were included. After 15 min of surgery, patients with severe flushing demonstrated the highest plasma 6-keto-PGF1α concentration and the most significant decrease in systemic vascular resistance. Accordingly, the skin blood flow on the forehead (238 [201-372] to 562 LSPU [433-729]) and the cheeks (341 [239-355] to 624 LSPU [468-917]) increased and were significantly higher than for patients with moderate or no flushing (both, P = 0.04). A cut-off value for skin blood flow could be defined for both the cheeks and the forehead for patients with severe flushing vs. no flushing (425/456 LSPU, sensitivity 75/76% and specificity 80/85%). MTS is linked to an increase in facial skin blood flow during upper gastrointestinal surgery. By applying LSCI, it is possible to quantitatively register facial blood flow, and thereby provide an objective tool for intraoperative verification of MTS. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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