Rapid diagnosis of cannula migration by cerebral oximetry in neonatal arch repair.
Although it has gained much interest in other surgical specialties, the application of near-infrared spectroscopy to assess cerebral perfusion during cardiac surgery is relatively new. Regional cerebral oxygen saturation (rSO2) is a function of cerebral oxygen supply and demand. Continuous monitoring of the rSO2 permits early detection of cerebral ischemia allowing for prompt intervention. The following is a description of a repair of truncus arteriosus with type A interrupted aortic arch during which continuous cerebral oximetry assisted with the positioning of the arterial cannula avoiding a prolonged episode of cerebral ischemia.
Scholl
Frank G
FG
Division of Pediatric Cardiac Surgery, Monroe Carrell Jr Children's Hospital at Vanderbilt, Vanderbilt University Medical Center, Nashville, Tennessee 37232-9292, USA. frank.scholl@vanderbilt.edu
Webb
David
D
Christian
Karla
K
Drinkwater
Davis C
DC
D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000601:surgery; D001785:Blood Gas Monitoring, Transcutaneous; D016122:Brachiocephalic Trunk; D002404:Catheterization; D002408:Catheters, Indwelling / Q000009:adverse effects*; D002560:Cerebrovascular Circulation; D005548:Foreign-Body Migration / Q000097:blood / Q000175:diagnosis*; D006801:Humans; D020925:Hypoxia-Ischemia, Brain / Q000097:blood / Q000175:diagnosis* / Q000209:etiology; D007231:Infant, Newborn; D007431:Intraoperative Complications / Q000097:blood / Q000175:diagnosis* / Q000209:etiology; D008297:Male; D016343:Monitoring, Intraoperative; D010108:Oxyhemoglobins / Q000032:analysis*; D019265:Spectroscopy, Near-Infrared; D013348:Subclavian Artery; D014339:Truncus Arteriosus, Persistent / Q000601:surgery*
D010108:Oxyhemoglobins