Near-Infrared Spectroscopy: An Important Monitoring Tool During Hybrid Aortic Arch Replacement

Santo, Kirkpatrick; Barrios, Alejandro Gutiérrez; Dandekar, Uday; Riley, Peter; Guest, Peter; Bonser, Robert S.

doi:10.1213/ane.0b013e31818042d6

Cited by 18 publications

(10 citation statements)

References 8 publications

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“…The proportion of pre-hospital time with successful monitoring (>70%) was 71.4% (45 of 63) for all three sensors, with at least two sensors functional in 90.4% (57 of 63). The median (interquartile range) scene time was 19 (11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23) minutes in patients with NIRS monitoring compared to 18 (11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27) minutes without NIRS monitoring (P = .570). There was no difference in the median (interquartile range) total pre-hospital time between patients with or without monitoring sensors (72 [59-89] versus 72 [59-80] minutes; P = .605).…”

Section: Resultsmentioning

confidence: 98%

“…9,10 As the technology provides information about perfusion and oxygenation of the tissue bed underlying the sensor, it has been used to define thresholds for safe perfusion during carotid endarterectomy, to provide information during cerebral aneurysm embolization, and in a variety of cardiac surgery settings including high-risk surgery, arch surgery and for monitoring during cardiopulmonary bypass. [11][12][13][14][15] Changes to cerebral oximetry values can be addressed by measures including increasing delivered oxygen, allowing carbon dioxide to rise to increase cerebral blood flow, use of agents to alter haemodynamics or transfusion.…”

Section: Discussionmentioning

confidence: 99%

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Near‐infrared spectroscopy monitoring in a pre‐hospital trauma patient cohort: An analysis of successful signal collection

Weatherall

Poynter²,

Garner³

et al. 2019

Acta Anaesthesiol Scand

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A primary aim of managing critically injured patients is the maintenance of perfusion to vital organs, particularly the brain.Discussion of traumatic brain injury (TBI) management frequently focuses on hospital care but the pre-hospital phase, even in urban areas of Australia, is often more than one hour. Delivery of nutrients to the brain is no less vital during this period than during the hospital admission to prevent the deleterious effects of secondary brain injury.TBI is a significant cause of morbidity and mortality with younger age groups most commonly affected. In TBI survivors, almost 50% have permanent deficits causing at least moderate disability. 1 Such disability can be present in up to 43% of patients up to 20 years after their injury. 1 With estimates that patients suffering TBI add $8.6 billion per year to the costs of health care in Australia, there is a clear rationale for pursuing optimal TBI management. 2

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Section: Resultsmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Near‐infrared spectroscopy monitoring in a pre‐hospital trauma patient cohort: An analysis of successful signal collection

Weatherall

Poynter²,

Garner³

et al. 2019

Acta Anaesthesiol Scand

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“…Girişim sırasında kontralateral hemisferin desatürasyonu NIRS ve EEG monitörleri ile hızlıca tespit edilerek sol karotid arter ayrıca kanüle edilip ek olarak sol beyin perfüzyonu sağlana-bilir. Bu nedenle perfüzyon eksikliğinin erken saptanması oldukça önem arz eder ve nörolojik prognozu iyileştirir (15). Aort cerrahisi geçiren bu hastada her iki monitörle tüm ameliyat boyunca ve özellikle ASSP sırasında perfüzyon yeterliliği ve kontralateral hemisfer farkı değerlendirildi.…”

Section: Discussionunclassified

Intraoperative 16-Channel Electroencephalography and Bilateral Near Infrared Spectroscopy Monitorization in Aortic Surgery

Demir¹,

Aydınlı²,

Ünal³

et al. 2015

Turk J Anaesth Reanim

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Transient neurologic dysfunction is common after aortic surgery. Major causes of postoperative complications followed by cardiac surgery are due to hypoperfusion states such as selective cerebral perfusion, embolic debris during cardiopulmonary bypass and ulcerated plaque emboli originated from carotid arteries. Neurologic complications prolong periods of intensive care unit and hospital stay, worsens quality of life and unfortunately they are an important cause of morbidity. Anaesthesia during a carotid and aortic surgery constitutes of providing adequate brain perfusion pressure, attenuating cerebral metabolism by anaesthetic agents and monitoring the cerebral metabolic supply and demand relationship during the intraoperative period. We present a monitoring approach with an intraoperative 16-channel electroencephalography and bilateral near infrared spectroscopy during redo aneurysm of the sinus of Valsalva surgery. Keywords:Intraoperative neuromonitoring, electroencephalography, aortic surgery, cardiac anaesthesia, near infrared spectroscopy Aort cerrahisi sonrası inme ve geçici nörolojik işlev bozukluğu sık-lığı yüksektir. Açık kalp cerrahisinde perioperatif nörolojik komplikasyonlar; hipoperfüzyon, kalbin tromboembolik artıklarından kaynaklanan emboliler, karotis arterlerden oluşan ülsere plak embolileri, selektif serebral perfüzyonda düşük akım gibi nedenlerden kaynaklanabilir. Gelişen nörolojik komplikasyonlar yoğun bakım ve hastanede kalış süresinde uzama ve morbiditede artışa neden olarak yaşam kalitesini bozabilir. Aort ve karotis cerrahisi anestezisinde hedef beyin perfüzyon basıncının uygun seviyelerde tutulması, serebral metabolik ihtiyaçların anestetik ilaçlarla azaltılması ve bu gereksinim-sunum ilişkisinin intraoperatif dönemde monitörize edilmesini içerir. Bu yazıda, sinüs valsalva anevrizması nedeniyle ikinci kez ameliyat edilen bir hastada intraoperatif 16 kanallı elektroensefalografi ve bilateral near infrared spektroskopi monitörizasyonu kullanımı anlatıldı. 274 GirişA ort cerrahisi sonrası inme sıklığı %2-33, geçici nörolojik işlev bozukluğu sıklığı ise %35'lere varan oranlarda bildirilmektedir (1, 2). Gelişen nörolojik komplikasyonlarla yoğun bakım ve hastanede kalış süresi uzamakta, morbiditede artışa neden olarak yaşam kalitesi bozulmaktadır (3). Açık kalp cerrahisinde perioperatif nörolojik komplikasyonlar; hipoperfüzyon kalbin tromboembolik artıklarından kaynaklanan emboliler, karotis arterlerden oluşan ülsere plak embolileri, selektif serebral perfüzyonda düşük akım gibi nedenlerden kaynaklanabilir. Kardiyopulmoner bypass'ta (KPB) özellikle selektif perfüzyon sırasında serebral kan akımı kollateral dolaşıma bağlı olduğundan uygun perfüzyon basıncının sağlanması önemlidir. Aort ve karotis cerrahisinde anestezi; beyin perfüzyon basıncının uygun seviyelerde tutulması, serebral metabolik ihtiyaçların anestetik ilaçlarla azaltılması ve bu gereksinim-sunum ilişkisinin monitörize edilmesini içerir. Son yıllarda gelişen çeşitli cerrahi stratejiler ve intraoperatif nöromonitörizasyon teknikle...

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“…Cerebral oximetry is helpful in various surgical procedures [4][5][6][7]. Near-infrared spectroscopy is also an important monitoring tool during hybrid aortic arch replacement [8,9].…”

Section: Discussionmentioning

confidence: 99%

Innominate artery dissection with presentation of sudden right frontal desaturation detected by cerebral oximetry in complicated thoracic aortic aneurysm repair surgery: a case report

Wang

Shen

et al. 2011

Journal of Clinical Anesthesia

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Near-Infrared Spectroscopy: An Important Monitoring Tool During Hybrid Aortic Arch Replacement

Cited by 18 publications

References 8 publications

Near‐infrared spectroscopy monitoring in a pre‐hospital trauma patient cohort: An analysis of successful signal collection

Near‐infrared spectroscopy monitoring in a pre‐hospital trauma patient cohort: An analysis of successful signal collection

Intraoperative 16-Channel Electroencephalography and Bilateral Near Infrared Spectroscopy Monitorization in Aortic Surgery

Innominate artery dissection with presentation of sudden right frontal desaturation detected by cerebral oximetry in complicated thoracic aortic aneurysm repair surgery: a case report

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