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 |
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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. 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><identifier>ISSN: 0470-8105</identifier><identifier>EISSN: 1349-8029</identifier><identifier>DOI: 10.2176/nmc.19.9</identifier><identifier>PMID: 84360</identifier><language>eng</language><publisher>Japan: The Japan Neurosurgical Society</publisher><subject>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</subject><ispartof>Neurologia medico-chirurgica, 1979, Vol.19(1), pp.9-16</ispartof><rights>The Japan Neurosurgical Society</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1876,4009,27902,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/84360$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>FURUSE, Masahiro</creatorcontrib><creatorcontrib>IKEYAMA, Atsushi</creatorcontrib><creatorcontrib>MABE, Hideo</creatorcontrib><creatorcontrib>HASUO, Michiaki</creatorcontrib><creatorcontrib>KUCHIWAKI, Hiroji</creatorcontrib><creatorcontrib>NAKAYA, Takehiko</creatorcontrib><creatorcontrib>TOYAMA, Kiyonori</creatorcontrib><creatorcontrib>TERAOKA, Masaharu</creatorcontrib><creatorcontrib>NAGAI, Hajime</creatorcontrib><creatorcontrib>KAGEYAMA, Naoki</creatorcontrib><creatorcontrib>School of Medicine</creatorcontrib><creatorcontrib>Department of Neurosurgery</creatorcontrib><creatorcontrib>Nagoya City University</creatorcontrib><creatorcontrib>Nagoya University School of Medicine</creatorcontrib><title>Relationship between Rapid Variations in Intracranial Pressure and Changes in Respiratory Pattern during Postoperative Monitoring</title><title>Neurologia medico-chirurgica</title><addtitle>Neurol. Med. Chir.(Tokyo)</addtitle><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.</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 ; IKEYAMA, Atsushi ; MABE, Hideo ; HASUO, Michiaki ; KUCHIWAKI, Hiroji ; NAKAYA, Takehiko ; TOYAMA, Kiyonori ; TERAOKA, Masaharu ; NAGAI, Hajime ; KAGEYAMA, Naoki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4749-47e06d4f99dd7b1df8ad9bf5bb25ac126a188f6465f8e2be1cfa9c89381e528c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1979</creationdate><topic>Adult</topic><topic>Brain Neoplasms - physiopathology</topic><topic>Brain Neoplasms - surgery</topic><topic>Epidural pressure</topic><topic>Female</topic><topic>Glioblastoma - physiopathology</topic><topic>Glioblastoma - surgery</topic><topic>Humans</topic><topic>Intracranial Pressure</topic><topic>Male</topic><topic>Middle Aged</topic><topic>periodic respiration</topic><topic>Postoperative Period</topic><topic>rapid ICP variation</topic><topic>Respiration</topic><topic>respiratory pattern</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>FURUSE, Masahiro</creatorcontrib><creatorcontrib>IKEYAMA, Atsushi</creatorcontrib><creatorcontrib>MABE, Hideo</creatorcontrib><creatorcontrib>HASUO, Michiaki</creatorcontrib><creatorcontrib>KUCHIWAKI, Hiroji</creatorcontrib><creatorcontrib>NAKAYA, Takehiko</creatorcontrib><creatorcontrib>TOYAMA, Kiyonori</creatorcontrib><creatorcontrib>TERAOKA, Masaharu</creatorcontrib><creatorcontrib>NAGAI, Hajime</creatorcontrib><creatorcontrib>KAGEYAMA, Naoki</creatorcontrib><creatorcontrib>School of Medicine</creatorcontrib><creatorcontrib>Department of Neurosurgery</creatorcontrib><creatorcontrib>Nagoya City University</creatorcontrib><creatorcontrib>Nagoya University School of Medicine</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Neurologia medico-chirurgica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>FURUSE, Masahiro</au><au>IKEYAMA, Atsushi</au><au>MABE, Hideo</au><au>HASUO, Michiaki</au><au>KUCHIWAKI, Hiroji</au><au>NAKAYA, Takehiko</au><au>TOYAMA, Kiyonori</au><au>TERAOKA, Masaharu</au><au>NAGAI, Hajime</au><au>KAGEYAMA, Naoki</au><aucorp>School of Medicine</aucorp><aucorp>Department of Neurosurgery</aucorp><aucorp>Nagoya City University</aucorp><aucorp>Nagoya University School of Medicine</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship between Rapid Variations in Intracranial Pressure and Changes in Respiratory Pattern during Postoperative Monitoring</atitle><jtitle>Neurologia medico-chirurgica</jtitle><addtitle>Neurol. Med. Chir.(Tokyo)</addtitle><date>1979</date><risdate>1979</risdate><volume>19</volume><issue>1</issue><spage>9</spage><epage>16</epage><pages>9-16</pages><issn>0470-8105</issn><eissn>1349-8029</eissn><abstract>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.</abstract><cop>Japan</cop><pub>The Japan Neurosurgical Society</pub><pmid>84360</pmid><doi>10.2176/nmc.19.9</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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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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