Relationship between Rapid Variations in Intracranial Pressure and Changes in Respiratory Pattern during Postoperative Monitoring

Correlation between changes in epidural pressure, respiration and other related phenomena were studied in 7 patients with brain tumor by post-operative monitorings. Mutual changes in intracranial pressure (ICP) and respiratory pattern during rapid ICP variations were the main focus of our study. Occ...

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Veröffentlicht in:Neurologia medico-chirurgica 1979, Vol.19(1), pp.9-16
Hauptverfasser: FURUSE, Masahiro, IKEYAMA, Atsushi, MABE, Hideo, HASUO, Michiaki, KUCHIWAKI, Hiroji, NAKAYA, Takehiko, TOYAMA, Kiyonori, TERAOKA, Masaharu, NAGAI, Hajime, KAGEYAMA, Naoki
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container_issue 1
container_start_page 9
container_title Neurologia medico-chirurgica
container_volume 19
creator FURUSE, Masahiro
IKEYAMA, Atsushi
MABE, Hideo
HASUO, Michiaki
KUCHIWAKI, Hiroji
NAKAYA, Takehiko
TOYAMA, Kiyonori
TERAOKA, Masaharu
NAGAI, Hajime
KAGEYAMA, Naoki
description Correlation between changes in epidural pressure, respiration and other related phenomena were studied in 7 patients with brain tumor by post-operative monitorings. Mutual changes in intracranial pressure (ICP) and respiratory pattern during rapid ICP variations were the main focus of our study. Occurrence of rapid ICP variations of A and B-waves was closely related to changes in respiratory pattern. In large plateau-like waves, suppression in respiration usually initiated the pressure rise, while hyperpnea or tachypnea accounted for the pressure decrease. Analysis on B-type pressure oscillation disclosed a clear phase relation that ICP rises during hypopneic phase of periodic respiration and its reduction coincides with the onset of hyperpnea. Noticeably such pressure variations as well as respiratory oscillations appeared dominant during sleep. Thus it is indicated that, under pathologic conditions, occurrence of oscillating respiration is provoked by depression in wakefulness of patients, presumably accompanying changes in the function of respiratory centers, and affects the changes in ICP.
doi_str_mv 10.2176/nmc.19.9
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Mutual changes in intracranial pressure (ICP) and respiratory pattern during rapid ICP variations were the main focus of our study. Occurrence of rapid ICP variations of A and B-waves was closely related to changes in respiratory pattern. In large plateau-like waves, suppression in respiration usually initiated the pressure rise, while hyperpnea or tachypnea accounted for the pressure decrease. Analysis on B-type pressure oscillation disclosed a clear phase relation that ICP rises during hypopneic phase of periodic respiration and its reduction coincides with the onset of hyperpnea. Noticeably such pressure variations as well as respiratory oscillations appeared dominant during sleep. 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Thus it is indicated that, under pathologic conditions, occurrence of oscillating respiration is provoked by depression in wakefulness of patients, presumably accompanying changes in the function of respiratory centers, and affects the changes in ICP.</description><subject>Adult</subject><subject>Brain Neoplasms - physiopathology</subject><subject>Brain Neoplasms - surgery</subject><subject>Epidural pressure</subject><subject>Female</subject><subject>Glioblastoma - physiopathology</subject><subject>Glioblastoma - surgery</subject><subject>Humans</subject><subject>Intracranial Pressure</subject><subject>Male</subject><subject>Middle Aged</subject><subject>periodic respiration</subject><subject>Postoperative Period</subject><subject>rapid ICP variation</subject><subject>Respiration</subject><subject>respiratory pattern</subject><issn>0470-8105</issn><issn>1349-8029</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1979</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kMFr2zAUxk1Z2UJb2L0XncYuySRbtqRjCetW6FgI3a7iWX5OVBzJk-SOHvefT4lLDtKH-H18eu8rio-Mrkommi_uYFZMrdRFsWAVV0tJS_WuWFAu6FIyWn8obmK0LaUll7yS4n1xmbWhi-LfFgdI1ru4tyNpMf1FdGQLo-3Ibwh2ZsQ68uBSABPAWRjIJmCMU0ACriPrPbgdnkxbjKMNkHx4JRtICYMj3RSs25GNj8mPmKF9QfLDO5tdGVwXlz0MEW_e9Kr4df_1af19-fjz28P67nFpuMgrcYG06XivVNeJlnW9hE61fd22ZQ2GlQ0wKfuGN3UvsWyRmR6UkaqSDOtSmuqq-DTnjsH_mTAmfbDR4DCAQz9FLTgvayFpNn6ejSb4GAP2egz2AOFVM6qPdetct2ZKq2y9fcuc2gN2Z-Op3EzvZ5qRNTB4N1iH-tlPweVNtemYw1xizhJKU8oUZVnKfOjp3QhVsarMQXdz0HNMsMPzNxCSNQMe52GqVseZ2HypMzN7CBpd9R-uT6vG</recordid><startdate>1979</startdate><enddate>1979</enddate><creator>FURUSE, Masahiro</creator><creator>IKEYAMA, Atsushi</creator><creator>MABE, Hideo</creator><creator>HASUO, Michiaki</creator><creator>KUCHIWAKI, Hiroji</creator><creator>NAKAYA, Takehiko</creator><creator>TOYAMA, Kiyonori</creator><creator>TERAOKA, Masaharu</creator><creator>NAGAI, Hajime</creator><creator>KAGEYAMA, Naoki</creator><general>The Japan Neurosurgical Society</general><general>THE JAPAN NEUROSURGICAL SOCIETY</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1979</creationdate><title>Relationship between Rapid Variations in Intracranial Pressure and Changes in Respiratory Pattern during Postoperative Monitoring</title><author>FURUSE, Masahiro ; 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subjects Adult
Brain Neoplasms - physiopathology
Brain Neoplasms - surgery
Epidural pressure
Female
Glioblastoma - physiopathology
Glioblastoma - surgery
Humans
Intracranial Pressure
Male
Middle Aged
periodic respiration
Postoperative Period
rapid ICP variation
Respiration
respiratory pattern
title Relationship between Rapid Variations in Intracranial Pressure and Changes in Respiratory Pattern during Postoperative Monitoring
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