title: Monitoring cerebral oxygenation in a pediatric patient undergoing surgery for vascular ring.
abstract: Regional cerebral oxygenation can be monitored using near-infrared spectroscopy (NIRS). Inadequacy of collateral cerebral circulation and regional cerebral ischemia during cardiac and vascular surgery may be detected by the use of NIRS monitoring. We report a 2-year-old child who underwent surgical repair of vascular ring and subclavian reimplantation, where use of NIRS helped in early detection and timely intervention to prevent prolonged cerebral ischemia.
authors.affiliation: Department of Cardiothoracic Anesthesiology, Cleveland Clinic Foundation, Cleveland, OH 44195, USA.
authors.forename: Reena K
authors.initials: RK
authors.lastname: Joshi
authors.forename: Pablo
authors.initials: P
authors.lastname: Motta
authors.forename: Mayumi
authors.initials: M
authors.lastname: Horibe
authors.forename: Emad
authors.initials: E
authors.lastname: Mossad
mesh_terms: D001921:Brain / Q000378:metabolism*; D006348:Cardiac Surgical Procedures / Q000379:methods*; D002560:Cerebrovascular Circulation / Q000502:physiology*; D002675:Child, Preschool; D005260:Female; D006801:Humans; D016343:Monitoring, Intraoperative / Q000379:methods*; D010100:Oxygen / Q000378:metabolism*; D019265:Spectroscopy, Near-Infrared / Q000379:methods*
chemical_list: D010100:Oxygen