Cerebral and Renal Oxygenation in Infants Undergoing Laparoscopic Gastrostomy Tube Placement.

The Journal of Surgical Research
Amanda MuñozJoanne Baerg

Abstract

The aim of this study was to evaluate the effects of a carbon dioxide pneumoperitoneum on cerebral and renal oxygenation and oxygen extraction, in a cohort of infants from the neonatal intensive care unit, undergoing laparoscopic gastrostomy. After institutional review board approval, between February 2018 and June 2019, infants 0-3 mo corrected age, undergoing laparoscopic gastrostomy tube placement, were included. Strict exclusion criteria created a homogeneous cohort. Cerebral and renal tissue oxygen saturation (rSO2) by near-infrared spectroscopy, skin surface oxygen saturation (SpO2), by pulse oximetry, and amplitude-integrated electroencephalography were measured. Monitoring was divided into preoperative, intraoperative and postoperative time periods. Cerebral and renal fractional tissue oxygen extraction was calculated using arterial (SpO2) and tissue oxygen saturation (rSO2): (SpO2-rSO2SpO2)X100. Data were averaged into one-minute epochs and significant changes from baseline during the intraoperative and postoperative periods were detected using one-way analysis of variance with repeated measures. This pilot study examined sixteen infants, born at a median gestational age of 34.2 wk (range: 23.0-40.6) with a median corr...Continue Reading

References

May 1, 1991·Stroke; a Journal of Cerebral Circulation·P W McCormickG Balakrishnan
Dec 16, 2006·Surgical Endoscopy·Nicolas KalfaRene-Benoit Galifer
Jun 12, 2010·Journal of Perinatology : Official Journal of the California Perinatal Association·S McNeillB Engelhardt
Mar 30, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Gustavo A VillalonaKaren A Diefenbach
Mar 15, 2015·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Stefaan H A J TytgatDavid C van der Zee
Jun 3, 2016·Journal of Minimal Access Surgery·Gloria PelizzoValeria Calcaterra

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Citations

Oct 31, 2021·Pediatric Research·Philip T LevyUNKNOWN ESPR Special Interest Group “Near InfraRed Spectroscopy” (NIRS)

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