title: [Intraoperative monitoring of oxygen tissue pressure: Applications in vascular neurosurgery].
abstract: Ischemic lesions related to surgical procedures are a major cause of postoperative morbidity in patients with cerebral vascular disease. There are different systems of neuromonitoring to detect intraoperative ischemic events, including intraoperative monitoring of oxygen tissue pressure (PtiO2). The aim of this article was to describe, through the discussion of 4 cases, the usefulness of intraoperative PtiO2 monitoring during vascular neurosurgery. In presenting these cases, we demonstrate that monitoring PtiO2 is a reliable way to detect early ischemic events during surgical procedures. Continuous monitoring of PtiO2 in an area at risk allows the surgeon to resolve the cause of the ischemic event before it evolves to an established cerebral infarction.
authors.affiliation: Servicio de Neurocirugía, Unidad de Investigación de Neurotraumatología y Neurocirugía, Institut de Recerca Vall d'Hebron, Hospital Universitario Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, España. Electronic address: arikan@neurotrauma.net.
authors.forename: Fuat
authors.initials: F
authors.lastname: Arikan
authors.affiliation: Servicio de Neurocirugía, Unidad de Investigación de Neurotraumatología y Neurocirugía, Institut de Recerca Vall d'Hebron, Hospital Universitario Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, España.
authors.forename: Jordi
authors.initials: J
authors.lastname: Vilalta
authors.affiliation: Servicio de Neurocirugía, Unidad de Investigación de Neurotraumatología y Neurocirugía, Institut de Recerca Vall d'Hebron, Hospital Universitario Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, España.
authors.forename: Ramon
authors.initials: R
authors.lastname: Torne
authors.affiliation: Servicio de Anestesiología y Reanimación, Unidad de Investigación de Neurotraumatología y Neurocirugía, Institut de Recerca Vall d'Hebron, Hospital Universitario Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, España.
authors.forename: Ivette
authors.initials: I
authors.lastname: Chocron
authors.affiliation: Servicio de Anestesiología y Reanimación, Unidad de Investigación de Neurotraumatología y Neurocirugía, Institut de Recerca Vall d'Hebron, Hospital Universitario Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, España.
authors.forename: Ana
authors.initials: A
authors.lastname: Rodriguez-Tesouro
authors.affiliation: Servicio de Neurocirugía, Unidad de Investigación de Neurotraumatología y Neurocirugía, Institut de Recerca Vall d'Hebron, Hospital Universitario Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, España.
authors.forename: Juan
authors.initials: J
authors.lastname: Sahuquillo
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative / Q000379:methods*; D019635:Neurosurgical Procedures; D010092:Oximetry; D014656:Vascular Surgical Procedures; D055815:Young Adult
keywords: Cerebral ischemia; Intraoperative monitoring; Isquemia cerebral; Monitorización intraoperatoria; Neurocirugía vascular; Oxygen tissue pressure; Presión tisular de oxígeno; PtiO(2); Vascular neurosurgery