Detection of unintentional partial superior vena cava occlusion during a bidirectional cavopulmonary anastomosis

被引:11
作者
Ing, RJ
Lawson, DS
Jaggers, J
Schulman, S
Shearer, IR
Kern, FH
机构
[1] Duke Univ, Hlth Syst, Dept Anesthesiol, Durham, NC USA
[2] Duke Univ, Hlth Syst, Dept Surg, Durham, NC USA
[3] Duke Univ, Hlth Syst, Perfus Serv, Durham, NC USA
关键词
D O I
10.1053/j.jvca.2004.05.006
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
CARDIOPULMONARY BYPASS (CPB) has been recognized as a source of neurologic morbidity after congenital heart surgery. Continuous cerebral oxygen monitoring has been available for a number of years but, until recently, has had limited clinical application during congenital heart surgery.(1) Cerebral oxygen desaturation during cardiac surgery has been associated with neurologic complications.(2-7) This case report describes the early detection of decreased regional cerebral oxygen saturation (rSO(2)) with the use of noninvasive intraoperalive near-infrared spectroscopy (NIRS) in an 11-month-old child undergoing a bidirectional cavopulmonary anastomosis procedure.
引用
收藏
页码:472 / 474
页数:3
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