A Case of Hyperemia during Arteriovenous Malformation Surgery Controlled with β-blocker and Jugular Bulb Oxygen Saturation (SjO2) Monitoring

Tomomi Kimiwada, Hideyuki Kamii, Teiji Tominaga, Masato Kato

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

The authors report a case of hyperemic complications during arteriovenous malformation (AVM) surgery controlled with β-blocker. A 25-year-old male was anesthetized with propofol-fentanyl under jugular venous bulb oxygen saturation (SjO2) monitoring. Just after the total removal of AVM, SjO2 and blood pressure increased suddenly and brain swelling occurred. On the diagnosis of hyperemia of the brain, hyperventilation and controlled hypotension with nicardipine, diltiazem and sodium nitroprusside were started, but they were not effective. Thereafter, we injected a β-blocker (propranolol, 0.2 mg) intravenously, resulting in the decrease in blood pressure and the disappearance of the brain swelling. SjO2 monitoring supports the safe management of postresection hyperemia, and β-blocker can be usefull against hyperemic complications during and after AVM surgery.

Original languageEnglish
Pages (from-to)1074-1078
Number of pages5
JournalJapanese Journal of Anesthesiology
Volume52
Issue number10
Publication statusPublished - 2003 Oct
Externally publishedYes

Keywords

  • Arteriovenous malformation
  • Hyperemia
  • Jugular bulb oxygen saturation (Sj)
  • β-blocker

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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