Noninvasive ICG clearance test for estimating hepatic blood flow during halothane and isoflurane anaesthesia

Kanaya, Noriaki; Iwasaki, Hiroshi; Namiki, Akiyoshi

doi:10.1007/bf03010678

Cited by 14 publications

(7 citation statements)

References 21 publications

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“…PDD (DDG 2001 ™ analyser; Nihon Kohden Industry, Tokyo, Japan) has been described in detail previously17, 26. Two wavelengths, 805 and 890 nm, were used to measure the ratio of ICG to haemoglobin concentration because the extinction coefficient of ICG in blood is maximal at 805 nm and nearly zero at 890 nm.…”

Section: Methodsmentioning

confidence: 99%

Perioperative real-time monitoring of indocyanine green clearance by pulse spectrophotometry predicts remnant liver functional reserve in resection of hepatocellular carcinoma

Ohwada

Kawate

Hamada

et al. 2006

British Journal of Surgery

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Section: Methodsmentioning

confidence: 99%

Perioperative real-time monitoring of indocyanine green clearance by pulse spectrophotometry predicts remnant liver functional reserve in resection of hepatocellular carcinoma

Ohwada

Kawate

Hamada

et al. 2006

British Journal of Surgery

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“…Indocyanine green clearance (ICG) was assessed prior to and after EN to assess for splanchnic blood flow. The use of ICG clearance to assess for splanchnic blood flow, particularly hepatic blood flow, has been described elsewhere 43 , 44 . EN was not associated with a decrease in pH i , suggesting of a lack of splanchnic ischemia.…”

Section: Vasoactive Substances Used In the Intensive Care Unitmentioning

confidence: 95%

Vasoactive Substances and Their Effects on Nutrition in the Critically Ill Patient

Allen

2012

Nut in Clin Prac

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Critically ill patients often require specialized nutrition via the enteral route. The benefits of enteral feeding, particularly early in the care of the critically ill patient, are well documented. Controversy exists regarding the provision of enteral nutrition (EN) in critically ill patients with hemodynamic instability who require vasopressors or inotropes. Concerns center on the potential for gut ischemia that may develop in the face of an imbalance between oxygen supply and demand. Current guidelines offer some guidance as to when to it is safe to initiate enteral feeding in patients on vasopressors, but the decision on when to start EN in hemodynamically unstable patients requiring vasoactive substances remains a clinical dilemma for most critical care practitioners. This review focuses on the effects of vasoactive substances such as pressors and inotropes on the gastrointestinal tract, as well as their use in combination with EN.

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“…The effect of halothane anaesthesia on hepatic blood flow has been compared with isoflurane anaesthesia in human volunteers using a noninvasive indocyanine green clearance test for estimating hepatic blood flow. Isoflurane reduced hepatic blood flow to a lesser extent than halothane (25).…”

Section: Studies Comparing the Effects Of Inhalational Anaesthetics Omentioning

confidence: 99%

The choice of inhalation anaesthetic for major abdominal surgery in children with liver disease

Green

Ashley

2002

Pediatric Anesthesia

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Many children with liver disease undergo major abdominal surgery. Maintenance of anaesthesia is thus an important consideration in this surgical population. Despite a comprehensive and painstaking review of the literature, a sound evidence base, on which a choice of inhalation anaesthetic may be made, is lacking due to limited research in these patients. Differences between the more recent agents such as isoflurane, sevoflurane and desflurane are minor. Sevoflurane is favoured in paediatric practice for gaseous induction, but desflurane or isoflurane are marginally the preferred agents for maintenance of anaesthesia in children with liver disease undergoing major abdominal surgery. However, on the evidence that exists, much of it admittedly in animals and in adults, all three are preferable to halothane in this group of patients. More work is needed in this area before sound conclusions can be drawn and one agent proved to be definitely superior to the others.

show abstract

Noninvasive ICG clearance test for estimating hepatic blood flow during halothane and isoflurane anaesthesia

Cited by 14 publications

References 21 publications

Perioperative real-time monitoring of indocyanine green clearance by pulse spectrophotometry predicts remnant liver functional reserve in resection of hepatocellular carcinoma

Perioperative real-time monitoring of indocyanine green clearance by pulse spectrophotometry predicts remnant liver functional reserve in resection of hepatocellular carcinoma

Vasoactive Substances and Their Effects on Nutrition in the Critically Ill Patient

The choice of inhalation anaesthetic for major abdominal surgery in children with liver disease

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