Near-Infrared Cerebral Oximetry to Predict Outcome After Pediatric Cardiac Surgery: A Prospective Observational Study

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
Marine FlechetGeert Meyfroidt

Abstract

To assess whether near-infrared cerebral tissue oxygen saturation, measured with the FORESIGHT cerebral oximeter (CAS Medical Systems, Branford, CT) predicts PICU length of stay, duration of invasive mechanical ventilation, and mortality in critically ill children after pediatric cardiac surgery. Single-center prospective, observational study. Twelve-bed PICU of a tertiary academic hospital. Critically ill children and infants with congenital heart disease, younger than 12 years old, admitted to the PICU between October 2012 and November 2015. Children were monitored with the FORESIGHT cerebral oximeter from PICU admission until they were weaned off mechanical ventilation. Clinicians were blinded to cerebral tissue oxygen saturation data. None. Primary outcome was the predictive value of the first 24 hours of postoperative cerebral tissue oxygen saturation for duration of PICU stay (median [95% CI], 4 d [3-8 d]) and duration of mechanical ventilation (median [95% CI], 111.3 hr (69.3-190.4 hr]). We calculated predictors on the first 24 hours of cerebral tissue oxygen saturation monitoring. The association of each individual cerebral tissue oxygen saturation predictor and of a combination of predictors were assessed using univari...Continue Reading

References

Jul 2, 2002·The Journal of Thoracic and Cardiovascular Surgery·Kathy J Jenkins, Kimberlee Gauvreau
Jan 24, 2003·Intensive Care Medicine·Anthony SlaterUNKNOWN Paediatric Index of Mortality (PIM) Study Group
Mar 25, 2005·Psychophysiology·Gary G BerntsonYun-Ju Chen
Aug 24, 2005·Anesthesia and Analgesia·Andrea CasatiUNKNOWN Collaborative Italian Study Group on Anesthesia in Elderly Patients
Dec 21, 2006·Anesthesia and Analgesia·John M MurkinStephanie Fox
Sep 25, 2007·The Annals of Thoracic Surgery·James S TweddellGeorge M Hoffman
Dec 23, 2008·The Annals of Thoracic Surgery·James P SlaterGrant V S Parr
Apr 22, 2009·The Annals of Thoracic Surgery·Heather M PhelpsKevin O Maher
Dec 17, 2009·British Journal of Anaesthesia·J M Murkin, M Arango
May 28, 2010·The New England Journal of Medicine·Richard G OhyeUNKNOWN Pediatric Heart Network Investigators
Jun 29, 2010·The Journal of Thoracic and Cardiovascular Surgery·Gregory W FischerDavid L Reich
Aug 26, 2011·The Journal of Pediatrics·Joseph Randall MoormanThomas Michael O'Shea
Sep 11, 2012·The New England Journal of Medicine·Michael S D AgusUNKNOWN SPECS Study Investigators
Oct 27, 2012·JAMA : the Journal of the American Medical Association·Dieter MesottenGreet Van den Berghe
Nov 7, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Jan Hinnerk HansenHans-Heiner Kramer
Dec 12, 2012·The Journal of Thoracic and Cardiovascular Surgery·Erica D SoodChristian Pizarro
Jan 16, 2013·The Journal of Thoracic and Cardiovascular Surgery·George M HoffmanNancy S Ghanayem
Nov 26, 2013·Paediatric Anaesthesia·John P Scott, George M Hoffman
Oct 29, 2015·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Aparna U HoskoteMichael W Broadhead
Mar 16, 2016·The New England Journal of Medicine·Tom FivezGreet Van den Berghe
Jan 10, 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·Michael C SpaederMary T Donofrio

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Citations

Sep 24, 2020·Pediatric Research·Michael C Spaeder, Victoria J Surma
May 5, 2018·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Michael C Spaeder
Mar 21, 2019·Current Opinion in Anaesthesiology·Andrew Davidson, Justin Skowno
Jun 20, 2020·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Marco ModestiniThomas W L Scheeren

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