Intra-operative pulse oximetry can help determine intestinal viability.
The intra-operative assessment of intestinal viability when dealing with ischaemic bowel remains a challenge. Reliable healing of small-bowel anastomoses, using pulse oximetry to exclude critical ischaemia, has been shown in the canine model. In this study, intra-operative pulse oximetry (PO) was used to help determine intestinal viability 48 h after de-torsion of a volvulus. Approximately one-half of the ischaemic, volved bowel was able to be preserved. Intra-operative PO can thus help preserve bowel of doubtful viability.
La Hei
E R
ER
Department of Surgery, Royal Alexandra Hospital for Children, Hawkesbury Rd, Westmead 2145, Sydney, Australia.
Shun
A
A
D000714:Anastomosis, Surgical; D005260:Female; D006801:Humans; D007223:Infant; D007421:Intestine, Small / Q000098:blood supply* / Q000503:physiopathology; D007431:Intraoperative Complications / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D007443:Intussusception / Q000503:physiopathology / Q000601:surgery*; D007511:Ischemia / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D009779:Occlusive Dressings; D010092:Oximetry / Q000295:instrumentation*; D011183:Postoperative Complications / Q000503:physiopathology / Q000601:surgery; D012086:Reoperation