Cerebral near-infrared spectroscopy during cardiopulmonary bypass predicts superior vena cava oxygen saturation

Ginther, Richard M.; Sebastian, Vinod A.; Huang, Rong; Leonard, Steven; Gorney, Ronald; Guleserian, Kristine J.; Forbess, Joseph M.

doi:10.1016/j.jtcvs.2010.12.021

Cited by 20 publications

(11 citation statements)

References 16 publications

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“…This reciprocal correlation and predictive value of static and dynamic (acute variations) between the SvcsO2 rcSO2 and were recently confirmed in another similar study [23]. The sample sizes in these two studies are similar to ours.…”

Section: Discussionsupporting

confidence: 89%

Correlação entre a SvO2 e SjO2 durante a cirurgia cardíaca com circulação extracorpórea em crianças

Klamt¹,

Nabarro²,

Vicente³

et al. 2011

Rev Bras Cir Cardiovasc

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Section: Discussionsupporting

confidence: 89%

Correlação entre a SvO2 e SjO2 durante a cirurgia cardíaca com circulação extracorpórea em crianças

Klamt¹,

Nabarro²,

Vicente³

et al. 2011

Rev Bras Cir Cardiovasc

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“…20 Third, it has been shown that the rate of withdrawal influences the jugular venous saturation, resulting in higher saturation with faster withdrawal. 74 Use of continuous saturation monitors might be a potential solution to decrease such error, but when looking at studies using in-line saturation monitors, 14,[25][26][27] greater negative bias is found. Fourth, it is not really possible to draw blood from the jugular bulb or superior vena cava in preterm infants.…”

Section: Validation With Blood Samplesmentioning

confidence: 99%

In vivo validation of cerebral near-infrared spectroscopy: a review

2018

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We summarize the available in vivo validation of cerebral near-infrared spectroscopy (NIRS) oximetry to inform future in vivo validation strategies. In particular, to establish a way forward in the assessment of NIRS instrumentation for future randomized trials, a systematic literature search is performed. The records are screened and abstracts are assessed to select studies fulfilling our inclusion criteria. Twenty-two pediatric and 28 adult studies are analyzed after exclusion of three articles in each group. All studies compare regional cerebral tissue oxygenation measured by cerebral NIRS to invasive measurement of central or jugular venous oxygen saturation. In studies without Bland-Altman plots, we extracted data from scatter plots enabling estimation of mean difference (MD), standard deviation (SD), and limits of agreement (LOA). To assess the agreement between rStO 2 (regional cerebral tissue oxygenation) estimated by NIRS and by blood samples, weighted averages of the MDs and SDs from each study are calculated. We found a fair agreement between the overall mean of cerebral tissue oxygenation and the mean of a reference value measured by co-oximetry whatever NIRS instrument or site of blood sampling used. Cerebral oxygenation overestimates the reference at low values, some instruments apparently more than others. Thus, a high degree of scatter and a lack of a good reference method complicate in vivo validation of NIRS. It is difficult to draw any firm conclusions despite the large number of studies, and the result of this review leaves us questioning if more of such validation studies of cerebral NIRS oximetry are really needed. Furthermore, the combination of lack of validation and poor repeatability is an important issue when designing a randomized clinical trial of implementing cerebral NIRS oximetry into clinical care.

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“…В отличие от ЦВД, в данной клинической ситуа ции, rSO 2 снижается достаточно быстро, вызывая необходи мость поиска причины. Эпизоды асимметричной выраженной десатурации могут выявляться иногда и при манипуляциях на сердце при операциях без ИК [3,15,22,32].…”

Section: факторы риска развития но при кардиохирургических операцияхunclassified

Cerebral Oximetry in Cardiac Surgery

Шепелюк¹,

Клыпа²,

Никифоров³

2012

rmt

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Cerebral near-infrared spectroscopy during cardiopulmonary bypass predicts superior vena cava oxygen saturation

Abstract: Cerebral near-infrared spectroscopy accurately predicts superior vena cava oxygen saturation and changes in superior vena cava oxygen saturation on cardiopulmonary bypass. The relationship between flank near-infrared spectroscopy and inferior vena cava saturation is not as strong.

Cited by 20 publications

References 16 publications

Correlação entre a SvO<sub>2</sub> e SjO<sub>2</sub> durante a cirurgia cardíaca com circulação extracorpórea em crianças

Correlação entre a SvO<sub>2</sub> e SjO<sub>2</sub> durante a cirurgia cardíaca com circulação extracorpórea em crianças

In vivo validation of cerebral near-infrared spectroscopy: a review

Cerebral Oximetry in Cardiac Surgery

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