Monitoring cerebral oxygenation in a pediatric patient undergoing surgery for vascular ring.
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.
Joshi
Reena K
RK
Department of Cardiothoracic Anesthesiology, Cleveland Clinic Foundation, Cleveland, OH 44195, USA.
Motta
Pablo
P
Horibe
Mayumi
M
Mossad
Emad
E
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*
D010100:Oxygen