Monitoring of intra-operative visual evoked potentials during functional endoscopic sinus surgery (FESS) under general anaesthesia.
Identifieur interne : 002087 ( PubMed/Corpus ); précédent : 002086; suivant : 002088Monitoring of intra-operative visual evoked potentials during functional endoscopic sinus surgery (FESS) under general anaesthesia.
Auteurs : S S Hussain ; H C Laljee ; J M Horrocks ; H. Tec ; A R GraceSource :
- The Journal of laryngology and otology [ 0022-2151 ] ; 1996.
English descriptors
- KwdEn :
- MESH :
Abstract
Functional endoscopic sinus surgery (FESS) is an effective treatment for inflammatory sinus disease. The potential for major complications during FESS is high particularly under general anaesthesia. The most serious of these is injury to the eye leading to blindness. We looked at the feasibility of monitoring flash visual evoked potentials (VEP) simultaneously from both eyes during FESS. Five patients were included in this preliminary study. A haptic contact lens connected by fibreoptic cable to a photostimulator was placed on the eyes and stimulus of comparable intensity to a conventional strobe was delivered. We found that an increase in P100 latency to be an indicator of optic nerve compression. However, for this to be useful the diastolic blood pressure should not fall below 50 mmHg, the oxygen saturation should be maintained at 98 per cent and bleeding should be minimized during surgery. The changes in the amplitude of P100 was not found to be useful. While there is no substitute for learning endoscopic surgery by cadaveric dissection and supervised training we believe that in selected cases VEP monitoring can be employed with profit.
PubMed: 8745778
Links to Exploration step
pubmed:8745778Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Monitoring of intra-operative visual evoked potentials during functional endoscopic sinus surgery (FESS) under general anaesthesia.</title><author><name sortKey="Hussain, S S" sort="Hussain, S S" uniqKey="Hussain S" first="S S" last="Hussain">S S Hussain</name><affiliation><nlm:affiliation>Department of Otolaryngology, York District Hospital, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Laljee, H C" sort="Laljee, H C" uniqKey="Laljee H" first="H C" last="Laljee">H C Laljee</name></author><author><name sortKey="Horrocks, J M" sort="Horrocks, J M" uniqKey="Horrocks J" first="J M" last="Horrocks">J M Horrocks</name></author><author><name sortKey="Tec, H" sort="Tec, H" uniqKey="Tec H" first="H" last="Tec">H. Tec</name></author><author><name sortKey="Grace, A R" sort="Grace, A R" uniqKey="Grace A" first="A R" last="Grace">A R Grace</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1996">1996</date><idno type="RBID">pubmed:8745778</idno><idno type="pmid">8745778</idno><idno type="wicri:Area/PubMed/Corpus">002087</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Monitoring of intra-operative visual evoked potentials during functional endoscopic sinus surgery (FESS) under general anaesthesia.</title><author><name sortKey="Hussain, S S" sort="Hussain, S S" uniqKey="Hussain S" first="S S" last="Hussain">S S Hussain</name><affiliation><nlm:affiliation>Department of Otolaryngology, York District Hospital, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Laljee, H C" sort="Laljee, H C" uniqKey="Laljee H" first="H C" last="Laljee">H C Laljee</name></author><author><name sortKey="Horrocks, J M" sort="Horrocks, J M" uniqKey="Horrocks J" first="J M" last="Horrocks">J M Horrocks</name></author><author><name sortKey="Tec, H" sort="Tec, H" uniqKey="Tec H" first="H" last="Tec">H. Tec</name></author><author><name sortKey="Grace, A R" sort="Grace, A R" uniqKey="Grace A" first="A R" last="Grace">A R Grace</name></author></analytic><series><title level="j">The Journal of laryngology and otology</title><idno type="ISSN">0022-2151</idno><imprint><date when="1996" type="published">1996</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anesthesia, General</term><term>Endoscopy</term><term>Evoked Potentials, Visual</term><term>Female</term><term>Humans</term><term>Intraoperative Period</term><term>Male</term><term>Monitoring, Physiologic</term><term>Sinusitis (surgery)</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Sinusitis</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Anesthesia, General</term><term>Endoscopy</term><term>Evoked Potentials, Visual</term><term>Female</term><term>Humans</term><term>Intraoperative Period</term><term>Male</term><term>Monitoring, Physiologic</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Functional endoscopic sinus surgery (FESS) is an effective treatment for inflammatory sinus disease. The potential for major complications during FESS is high particularly under general anaesthesia. The most serious of these is injury to the eye leading to blindness. We looked at the feasibility of monitoring flash visual evoked potentials (VEP) simultaneously from both eyes during FESS. Five patients were included in this preliminary study. A haptic contact lens connected by fibreoptic cable to a photostimulator was placed on the eyes and stimulus of comparable intensity to a conventional strobe was delivered. We found that an increase in P100 latency to be an indicator of optic nerve compression. However, for this to be useful the diastolic blood pressure should not fall below 50 mmHg, the oxygen saturation should be maintained at 98 per cent and bleeding should be minimized during surgery. The changes in the amplitude of P100 was not found to be useful. While there is no substitute for learning endoscopic surgery by cadaveric dissection and supervised training we believe that in selected cases VEP monitoring can be employed with profit.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">8745778</PMID><DateCreated><Year>1996</Year><Month>10</Month><Day>18</Day></DateCreated><DateCompleted><Year>1996</Year><Month>10</Month><Day>18</Day></DateCompleted><DateRevised><Year>2004</Year><Month>11</Month><Day>17</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0022-2151</ISSN><JournalIssue CitedMedium="Print"><Volume>110</Volume><Issue>1</Issue><PubDate><Year>1996</Year><Month>Jan</Month></PubDate></JournalIssue><Title>The Journal of laryngology and otology</Title><ISOAbbreviation>J Laryngol Otol</ISOAbbreviation></Journal><ArticleTitle>Monitoring of intra-operative visual evoked potentials during functional endoscopic sinus surgery (FESS) under general anaesthesia.</ArticleTitle><Pagination><MedlinePgn>31-6</MedlinePgn></Pagination><Abstract><AbstractText>Functional endoscopic sinus surgery (FESS) is an effective treatment for inflammatory sinus disease. The potential for major complications during FESS is high particularly under general anaesthesia. The most serious of these is injury to the eye leading to blindness. We looked at the feasibility of monitoring flash visual evoked potentials (VEP) simultaneously from both eyes during FESS. Five patients were included in this preliminary study. A haptic contact lens connected by fibreoptic cable to a photostimulator was placed on the eyes and stimulus of comparable intensity to a conventional strobe was delivered. We found that an increase in P100 latency to be an indicator of optic nerve compression. However, for this to be useful the diastolic blood pressure should not fall below 50 mmHg, the oxygen saturation should be maintained at 98 per cent and bleeding should be minimized during surgery. The changes in the amplitude of P100 was not found to be useful. While there is no substitute for learning endoscopic surgery by cadaveric dissection and supervised training we believe that in selected cases VEP monitoring can be employed with profit.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hussain</LastName><ForeName>S S</ForeName><Initials>SS</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology, York District Hospital, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Laljee</LastName><ForeName>H C</ForeName><Initials>HC</Initials></Author><Author ValidYN="Y"><LastName>Horrocks</LastName><ForeName>J M</ForeName><Initials>JM</Initials></Author><Author ValidYN="Y"><LastName>Tec</LastName><ForeName>H</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Grace</LastName><ForeName>A R</ForeName><Initials>AR</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>ENGLAND</Country><MedlineTA>J Laryngol Otol</MedlineTA><NlmUniqueID>8706896</NlmUniqueID><ISSNLinking>0022-2151</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000768">Anesthesia, General</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D004724">Endoscopy</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D005074">Evoked Potentials, Visual</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D007432">Intraoperative Period</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D008991">Monitoring, Physiologic</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D012852">Sinusitis</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1996</Year><Month>1</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1996</Year><Month>1</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1996</Year><Month>1</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">8745778</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Ticri/CIDE/explor/HapticV1/Data/PubMed/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002087 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/PubMed/Corpus/biblio.hfd -nk 002087 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Ticri/CIDE
|area= HapticV1
|flux= PubMed
|étape= Corpus
|type= RBID
|clé= pubmed:8745778
|texte= Monitoring of intra-operative visual evoked potentials during functional endoscopic sinus surgery (FESS) under general anaesthesia.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/PubMed/Corpus/RBID.i -Sk "pubmed:8745778" \
| HfdSelect -Kh $EXPLOR_AREA/Data/PubMed/Corpus/biblio.hfd \
| NlmPubMed2Wicri -a HapticV1
| This area was generated with Dilib version V0.6.23. |  |