Mesenteric near-infrared spectroscopy and risk of gastrointestinal complications in infants undergoing surgery for congenital heart disease

Cardiology in the Young
Ilias IliopoulosNazima Pathan

Abstract

We hypothesised that lower mesenteric near-infrared spectroscopy values would be associated with a greater incidence of gastrointestinal complications in children weighing <10 kg who were recovering from cardiac surgery. We evaluated mesenteric near-infrared spectroscopy, central venous oxygen saturation, and arterial blood gases for 48 hours post-operatively. Enteral feeding intake, gastrointestinal complications, and markers of organ dysfunction were monitored for 7 days. A total of 50 children, with median age of 16.7 (3.2-31.6) weeks, were studied. On admission, the average mesenteric near-infrared spectroscopy value was 71±18%, and the systemic oxygen saturation was 93±7.5%. Lower admission mesenteric near-infrared spectroscopy correlated with longer time to establish enteral feeds (r=-0.58, p<0.01) and shorter duration of feeds at 7 days (r=0.48, p<0.01). Children with gastrointestinal complications had significantly lower admission mesenteric near-infrared spectroscopy (58±18% versus 73±17%, p=0.01) and higher mesenteric arteriovenous difference of oxygen at admission [39 (23-47) % versus 19 (4-27) %, p=0.02]. Based on multiple logistic regression, admission mesenteric near-infrared spectroscopy was independently associa...Continue Reading

References

May 1, 1971·The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine·R S BellJ K Stevenson
Apr 1, 1993·Journal of Pediatric Surgery·A HebraA J Ross
Nov 1, 1996·British Journal of Anaesthesia·P D BookerR Franks
Jul 16, 2003·Journal of Pediatric Surgery·Daniel J OstlieCharles L Snyder
Jul 31, 2004·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Kathy J Jenkins
Jun 29, 2005·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·A Marc HarrisonMary E Temple
Oct 11, 2005·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Stephen A McClave, Wei-Kuo Chang
Feb 14, 2006·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Sylvia L del CastilloPierre C Wong
Feb 3, 2007·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Patrick S McQuillenSteven P Miller
May 15, 2008·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Jon KaufmanRobert H Friesen
Nov 21, 2008·Journal of Perinatology : Official Journal of the California Perinatal Association·V DaveS M Nafday
Dec 23, 2008·The Annals of Thoracic Surgery·James P SlaterGrant V S Parr
May 11, 2010·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Wendy A LuceClifford L Cua
Jul 14, 2010·Journal of Pediatric Surgery·Nicole P BernalMarjorie J Arca
Sep 11, 2010·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Josef CortezBeena G Sood
Nov 19, 2010·Pediatric Cardiology·Gabe E OwensJohn R Charpie
Jan 4, 2012·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Nancy S GhanayemGeorge M Hoffman

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Citations

Dec 6, 2017·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Lyvonne N TumeUNKNOWN members of the European Society of Pediatric and Neonatal Intensive Care Pediatric and Congenital Cardiac Intensive Care & M
Jun 15, 2018·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Xi YangWenbin Dong

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