Cerebral hypoxia detected by near infrared spectroscopy.
Near infrared spectroscopy is a relatively new technique for monitoring intracerebral oxygen saturation. Using the technique, three episodes of cerebral hypoxia were detected during elective carotid endarterectomy which were not reliably recorded by more standard monitoring of cerebral perfusion. In one case, cerebral hypoxia was related to slippage of the tracheal tube into the right main bronchus and in the other two to episodes of hypotension. Near infrared spectroscopy is a reliable indicator of peripheral cortical perfusion and provides continuous and noninvasive monitoring of intracerebral oxygen saturation.
Department of Surgery, University Hospital of South Manchester, West Didsbury.
I M
IM
Williams
A J
AJ
Picton
S C
SC
Hardy
A J
AJ
Mortimer
C N
CN
McCollum
D000368:Aged; D000369:Aged, 80 and over; D001927:Brain Diseases / Q000175:diagnosis*; D002560:Cerebrovascular Circulation; D016894:Endarterectomy, Carotid; D005260:Female; D006801:Humans; D000860:Hypoxia / Q000175:diagnosis*; D008297:Male; D016343:Monitoring, Intraoperative; D010092:Oximetry / Q000379:methods; D010100:Oxygen / Q000032:analysis*; D013055:Spectrophotometry, Infrared
D010100:Oxygen