Changes in near infrared spectroscopy during deep hypothermic circulatory arrest

Annals of Cardiac Anaesthesia
Joseph D TobiasJoAnne Russo

Abstract

Monitoring cerebral oxygenation with near infrared spectroscopy may identify periods of cerebral desaturation and thereby the patients at risk for perioperative neurocognitive issues. Data regarding the performance of near infrared spectroscopy monitoring during deep hypothermic circulatory arrest are limited. The current study presents data regarding use of a commercially available near infrared spectroscopy monitor during deep hypothermic circulatory arrest in paediatric patients undergoing surgery for congenital heart disease. The cohort included 8 patients, 2 weeks to 6 months of age, who required deep hypothermic circulatory arrest for repair of congenital heart disease. The baseline cerebral oxygenation was 63 +/- 11% and increased to 88 +/- 7% after 15 min of cooling to a nasopharyngeal temperature of 17-18 degrees C on cardiopulmonary bypass. In 5 of 8 patients, the cerebral oxygenation value had achieved its peak value (either >or=90% or no change during the last 2-3 min of cooling on cardiopulmonary bypass). In the remaining 3 patients, additional time on cardiopulmonary bypass was required to achieve a maximum cerebral oxygenation value. The duration of deep hypothermic circulatory arrest varied from 36 to 61 min (43...Continue Reading

References

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Citations

Feb 18, 2016·Annals of Intensive Care·Olivier BrissaudKhaldoun Kuteifan
May 18, 2010·Journal of Cardiothoracic and Vascular Anesthesia·Marina SvyatetsJean Charchaflieh
Dec 1, 2009·Clinics in Perinatology·Martin Wolf, Gorm Greisen
Nov 3, 2010·Journal of the Peripheral Nervous System : JPNS·Hessel FranssenLeonard J van Schelven
Mar 15, 2015·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Stefaan H A J TytgatDavid C van der Zee
Jul 28, 2016·Expert Review of Cardiovascular Therapy·George Tolis, Thoralf M Sundt
Oct 22, 2016·Seminars in Cardiothoracic and Vascular Anesthesia·Jeffrey E KeenanG Chad Hughes
Oct 5, 2016·Biomedical Optics Express·David R BuschKenneth M Brady
Jul 28, 2020·Journal of Cardiothoracic and Vascular Anesthesia·Mohamed Shaaban-AliAndré Denault

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