Bilateral monitoring of cerebral oxygen saturation results in recognition of aortic cannula malposition during pediatric congenital heart surgery

被引：43
作者：
Gottlieb, Erin A.
Fraser, Charles D., Jr.
Andropoulos, Dean B.
Diaz, Laura K.
机构：
[1] Texas Childrens Hosp, Arthur S Keats MD Div Pediat Cardiovasc Anesthesi, Houston, TX 77030 USA
[2] Texas Childrens Hosp, Div Congenital Heart Surg, Houston, TX 77030 USA
来源：
PEDIATRIC ANESTHESIA | 2006年 / 16卷 / 07期
关键词：
cerebral saturation : NIRS; near-infrared spectroscopy : congenital heart disease; neurological monitoring : anesthesia;
D O I：
10.1111/j.1460-9592.2006.01989.x
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Congenital heart surgery is associated with a 2-25% reported incidence of neurological complication. Near-infrared spectroscopy (NIRS) can detect changes in regional cerebral saturation index (rSO(2)i) during cardiac surgery. If rSO(2)i decreases significantly, treatment algorithms are used to restore baseline values, potentially avoiding neurological complications. The efficacy of bilateral NIRS monitoring in pediatric congenital heart surgery has been debated. We report a case in which bilateral NIRS monitoring detected an abrupt decrease in rSO(2)i (right greater than left) after initiation of bypass without abnormalities detected by standard monitors. This resulted in prompt surgical intervention that restored rSO(2)i, potentially preventing neurological injury.
引用
收藏
页码：787 / 789
页数：3
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