Regional cerebral oxygen saturation values in valve surgery

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Abstract

Objective: To investigate regional cerebral oxygen saturation values and determine the correlation between regional cerebral oxygen saturation and cardiac output, cardiac index in valve surgical patients.

Subjects and methods: A total of 51 valve surgical patients were enrolled in the study. Regional cerebral oxygen saturation and cardiac output (CO), cardiac index (CI) were measured during the phases of pre-induction, post-induction, onset of cardiopulmonary bypass (CPB), during CPB, the end of the CPB and before leaving theatre.

Results: Regional cerebral oxygen saturation when patients breath room air was 63.5 ± 7.7% in right brain and 62.9 ± 6.8% in left one, and in the range from 56.7 ± 10.5% to 65.2 ± 10.5% during studying points. This values was lowest during CPB, 56.7 ± 10.5% and 57.3 ± 9.8% in in right brain and in left one, respectively. Regional cerebral oxygen saturation correlated positively with CO, CI during studying pointsexcept for CPB time.

Conclusion: Baseline regional cerebral oxygen saturation was 63.5 ± 7.7% in right brain and 62.9 ± 6.8% in left one. The lowest values were during CPB. Regional cerebral oxygen saturationcorrelated well with CO, Cl except for CPB time.

References

Bhutta A.T., Ford J.W., Parker J.G., et al (2007), "Noninvasive cerebral oximeter as a surrogate for mixed venous saturation in children", Pediatr Cardiol, 28, pp.34-41.

Brady K., Joshi B., Zweifel C. et al (2010), "Real Time Continuous Monitoring of Cerebral Blood Flow Autoregulation using Near-Infrared Spectroscopy in Patients Undergoing Cardiopulmonary Bypass", Stroke, 41(9), pp. 1951-6.

Edmonds H.L., Ganzel B.L., Austin E.H. (2004), "Cerebral oximetry for cardiac and vascular surgery", Seminars in cardiothoracic and vascular anesthesia, 8(2), pp.147-66.

Heringlake M., Garbers C., Kaber J.H. et al (2011), "Preoperative cerebral oxygen saturation and clinical outcome in cardiac surgery", Anesthesiology; 114(1), pp.58-69.

Murkin J.M., Arango M., (2009), "Near-infrared spectroscopy as an index of brain and tissue oxygenation", British Journal of Anaesthesia, 103,13-113.

Orihashi K. et al (2005), "Malposition of selective cerebral perfusion catheter is not a rare event", Eur J Cardiothoracic Surg, 27, pp.644-8.

Scheeren T.W.L, Schober P., Schwarte L.A. (2012), "Monitoring tissue oxygenation by near infrared spectroscopy (NIRS): Background and current applications", J Clin Monit Comput, 26, pp. 279-87.

Tameen A., Krowidi H. (2013), "Cerebral physiology", Continuing Education in Anesthesia, Critical Care & Pain, 13(4).

Tripodaki E.S., Tasoulis A., Koliopoulou A. (2012), "Microcirculation and macrocirculation in cardiac surgical patients", Critical Care Research and Practice, Article ID 654381.

Published 25-12-2018
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Issue No. 52 (2018)
Section Original article
DOI
Keywords Độ bão hòa oxy vùng tại mô não, Cung lượng tim, Chỉ số tim Regional cerebral oxygen saturation, cardiac output, cardiac index

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Dang, T. U., Vo, D. Q., Truong, T. A., Le, N. A., & Ngo, T. T. (2018). Regional cerebral oxygen saturation values in valve surgery. Journal of Clinical Medicine Hue Central Hospital, (52), 43–48. Retrieved from https://jcmhch.com.vn/index.php/home/article/view/1411