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. 2020 Aug 28;15(3):614-619.
doi: 10.4103/ajns.AJNS_348_19. eCollection 2020 Jul-Sep.

Comparison of Propofol and Sevoflurane on Cerebral Oxygenation Using Juglar Venous Oximetery (SjVo2) in Patients Undergoing Surgery for Traumatic Brain Injury

Rajeev Chauhan  1 , Nidhi Panda  1 , Hemant Bhagat  1 , Neerja Bharti  1 , Ankur Luthra  1 , Shiv Lal Soni  1 , Narender Kaloria  2 , Praveen Salunke  3 , Vishwanath Bhaire  1 , Summit Dev Bloria  1
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Comparison of Propofol and Sevoflurane on Cerebral Oxygenation Using Juglar Venous Oximetery (SjVo2) in Patients Undergoing Surgery for Traumatic Brain Injury

Rajeev Chauhan et al. Asian J Neurosurg. .

Abstract

Background: Traumatic brain injury (TBI) induces major insult to the normal cerebral physiology. The anesthetic agents may infrequently produce deleterious effects and further aggravate damage to the injured brain. This study was conducted to evaluate the effects of propofol and sevoflurane on cerebral oxygenation, brain relaxation, systemic hemodynamic parameters and levels of interleukin-6 (IL-6) in patients with severe TBI undergoing decompressive craniectomy.

Methods: A prospective randomized comparative study was conducted on 42 patients undergoing surgery for severe TBI. Patients were randomized into two groups, Group P received propofol and Group S received sevoflurane for maintenance of anesthesia. All patients were induced with fentanyl, propofol, and vecuronium. The effect of these agents on cerebral oxygenation was assessed by jugular venous oxygen saturation (SjVO2). Hemodynamic changes and quality of intraoperative brain relaxation were also assessed. The serum levels of IL-6 were quantitated using enzyme-linked immunosorbent assay technique.

Results: SjVO2 values were comparable and mean arterial pressure (MAP) was found to be significantly lower in Group P as compared to those in Group S (P < 0.05). Brain relaxation scores were comparable between the groups. The level of IL-6 decreased significantly at the end of surgery compared to baseline in patients receiving sevoflurane (P = 0.040).

Conclusions: Cerebral oxygenation measured by SjVO2 was comparable when anesthesia was maintained with propofol or sevoflurane. However, significant reduction in MAP by propofol needs attention in patients with severe TBI. The decrease in IL-6 level reflects anti-inflammatory effect and probable neuroprotective potential of propofol and sevoflurane.

Keywords: Jugular venous oxygenation; propofol; traumatic brain injury.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Consort diagram
Figure 2
Figure 2
Comparison of intraoperative heart rate among the two groups
Figure 3
Figure 3
Comparison of intraoperative mean bp among the two groups
Figure 4
Figure 4
Brain relaxation score comparison between the two groups
See this image and copyright information in PMC

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