Assessment of the changes in cardiac sympathetic nervous activity using the pupil size changes measured in seated patients whose stellate ganglion is blocked by interscalene brachial plexus block
DC Field | Value | Language |
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dc.contributor.author | Kim, Eugene | - |
dc.contributor.author | Lim, Jung A. | - |
dc.contributor.author | Choi, Chang Hyuk | - |
dc.contributor.author | Lee, So Young | - |
dc.contributor.author | Kwak, Seongmi | - |
dc.contributor.author | Kim, Jonghae | - |
dc.date.accessioned | 2023-05-09T05:34:25Z | - |
dc.date.available | 2023-05-09T05:34:25Z | - |
dc.date.created | 2023-05-03 | - |
dc.date.issued | 2023-04 | - |
dc.identifier.issn | 2005-6419 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/185477 | - |
dc.description.abstract | Background: As a side effect of interscalene brachial plexus block (ISBPB), stellate gangli-on block (SGB) causes reductions in pupil size (Horner's syndrome) and cardiac sympa-thetic nervous activity (CSNA). Reduced CSNA is associated with hemodynamic instabili-ty when patients are seated. Therefore, instantaneous measurements of CSNA are import-ant in seated patients presenting with Horner's syndrome. However, there are no effective tools to measure real-time CSNA intraoperatively. To evaluate the usefulness of pupillometry in measuring CSNA, we investigated the relationship between pupil size and CSNA.Methods: Forty-two patients undergoing right arthroscopic shoulder surgery under ISB-PB were analyzed. Pupil diameters were measured at 30 Hz for 2 s using a portable pupil-lometer. Bilateral pupil diameters and CSNA (natural-log-transformed low-frequency power [0.04-0.15 Hz] of heart rate variability [lnLF]) were measured before ISBPB (pre-ISBPB) and 15 min after transition to the sitting position following ISBPB (post -sit-ting). Changes in the pupil diameter ([right pupil diameter for post-sitting - left pupil di-ameter for post-sitting] - [right pupil diameter for pre-ISBPB - left pupil diameter for pre-ISBPB]) and CSNA (lnLF for post-sitting - lnLF for pre-ISBPB) were calculated.Results: Forty-one patients (97.6%) developed Horner's syndrome. Right pupil diameter and lnLF significantly decreased upon transition to sitting after ISBPB. In the linear regression model (R-2 = 0.242, P = 0.001), a one-unit decrease (1 mm) in the extent of changes in the pupil diameter reduced the extent of changes in lnLF by 0.659 ln(ms(2)/Hz) (95% CI [0.090, 1.228]). Conclusions: Pupillometry is a useful tool to measure changes in CSNA after the transi-tion to sitting following ISBPB. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | KOREAN SOC ANESTHESIOLOGISTS | - |
dc.title | Assessment of the changes in cardiac sympathetic nervous activity using the pupil size changes measured in seated patients whose stellate ganglion is blocked by interscalene brachial plexus block | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Eugene | - |
dc.identifier.doi | 10.4097/kja.22324 | - |
dc.identifier.scopusid | 2-s2.0-85152155327 | - |
dc.identifier.wosid | 000964540000006 | - |
dc.identifier.bibliographicCitation | KOREAN JOURNAL OF ANESTHESIOLOGY, v.76, no.2, pp.116 - 127 | - |
dc.relation.isPartOf | KOREAN JOURNAL OF ANESTHESIOLOGY | - |
dc.citation.title | KOREAN JOURNAL OF ANESTHESIOLOGY | - |
dc.citation.volume | 76 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 116 | - |
dc.citation.endPage | 127 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.identifier.kciid | ART002946355 | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | Y | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.relation.journalResearchArea | Anesthesiology | - |
dc.relation.journalWebOfScienceCategory | Anesthesiology | - |
dc.subject.keywordPlus | HEART-RATE-VARIABILITY | - |
dc.subject.keywordPlus | PULSE TRANSIT-TIME | - |
dc.subject.keywordPlus | MODULATION | - |
dc.subject.keywordPlus | ULTRASOUND | - |
dc.subject.keywordPlus | SURGERY | - |
dc.subject.keywordPlus | SINUS | - |
dc.subject.keywordAuthor | Arthroscopy | - |
dc.subject.keywordAuthor | Brachial plexus block | - |
dc.subject.keywordAuthor | Heart rate | - |
dc.subject.keywordAuthor | Linear models | - |
dc.subject.keywordAuthor | Pupil | - |
dc.subject.keywordAuthor | Shoulder | - |
dc.subject.keywordAuthor | Sitting position | - |
dc.subject.keywordAuthor | Stellate ganglion | - |
dc.subject.keywordAuthor | Sympathetic nervous system | - |
dc.identifier.url | https://ekja.org/journal/view.php?doi=10.4097/kja.22324 | - |
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