Cerebral Air Embolism Recognized by Cerebral Oximetry

被引:12
作者
Fischer, Gregory W. [1 ]
Stone, Marc E. [1 ]
机构
[1] Mt Sinai Sch Med, Dept Anesthesiol, New York, NY 10029 USA
关键词
cerebral oximetry; cardiac surgery; air embolism; cerebral desaturation;
D O I
10.1177/1089253208330710
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Absolute cerebral oximetry is useful in clinical settings to identify "catastrophic events" that may occur during the course of surgeries that would otherwise have gone unrecognized. This study reports a case in which cerebral desaturation occurred after commencing cardiopulmo-nary bypass. Consequently, the source of air entrainment was discovered and therapeutic measures implemented.
引用
收藏
页码:56 / 59
页数:4
相关论文
共 13 条
[1]   Impact of embolization during coronary artery bypass grafting on outcome and length of stay [J].
Barbut, D ;
Lo, YW ;
Gold, JP ;
Trifiletti, RR ;
Yao, FSF ;
Hager, DN ;
Hinton, RB ;
Isom, OW .
ANNALS OF THORACIC SURGERY, 1997, 63 (04) :998-1002
[2]   Comparison of transcranial Doppler ultrasonography and transesophageal echocardiography to monitor emboli during coronary artery bypass surgery [J].
Barbut, D ;
Yao, FS ;
Hager, DN ;
Kavanaugh, P ;
Trifiletti, RR ;
Gold, JP .
STROKE, 1996, 27 (01) :87-90
[3]  
Benni PB, 2005, ADV EXP MED BIOL, V566, P195
[4]   Continuous monitoring of cerebral oxygen saturation in elderly patients undergoing major abdominal surgery minimizes brain exposure to potential hypoxia [J].
Casati, A ;
Fanelli, G ;
Pietropaoli, P ;
Proietti, R ;
Tufano, R ;
Danelli, G ;
Fierro, G ;
De Cosmo, G ;
Servillo, G ;
Nuzzi, M ;
Mentegazzi, F ;
Fanelli, A ;
Martani, C ;
Spreafico, E ;
Pugliese, F ;
Proietti, R ;
Aceto, P ;
Monaco, F .
ANESTHESIA AND ANALGESIA, 2005, 101 (03) :740-747
[5]   Principles, techniques, and limitations of near infrared spectroscopy [J].
Ferrari, M ;
Mottola, L ;
Quaresima, V .
CANADIAN JOURNAL OF APPLIED PHYSIOLOGY-REVUE CANADIENNE DE PHYSIOLOGIE APPLIQUEE, 2004, 29 (04) :463-487
[6]   Cardiopulmonary bypass management and neurologic outcomes: An evidence-based appraisal of current practices [J].
Hogue, Charles W., Jr. ;
Palin, Christopher A. ;
Arrowsmith, Joseph E. .
ANESTHESIA AND ANALGESIA, 2006, 103 (01) :21-37
[7]   Cerebral oxygen saturation before congenital heart surgery [J].
Kurth, CD ;
Steven, JL ;
Montenegro, LM ;
Watzman, HM ;
Gaynor, JW ;
Spray, TL ;
Nicolson, SC .
ANNALS OF THORACIC SURGERY, 2001, 72 (01) :187-192
[8]   Near-infrared oximetry of the brain [J].
Madsen, PL ;
Secher, NH .
PROGRESS IN NEUROBIOLOGY, 1999, 58 (06) :541-560
[9]   Near-infrared spectroscopy for monitoring cerebral ischemia during selective cerebral perfusion [J].
Orihashi, K ;
Sueda, T ;
Okada, K ;
Imai, K .
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2004, 26 (05) :907-911
[10]   Cerebral microemboli during cardiopulmonary bypass: Increased emboli during perfusionist interventions [J].
Taylor, RL ;
Borger, MA ;
Weisel, RD ;
Fedorko, L ;
Feindel, CM .
ANNALS OF THORACIC SURGERY, 1999, 68 (01) :89-93