Patent ductus arteriosus closure and somatic regional oxyhemoglobin saturation

Saito, Junichi; Nakai, Kishiko; Kawaguchi, Jun; Takekawa, Daiki; Hirota, Kazuyoshi

doi:10.1007/s10877-018-0184-6

Cited by 2 publications

(3 citation statements)

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“…Although the somatic rSO 2 was not correlated with the ScvO 2 in this study, the utility of monitoring the somatic rSO 2 during pediatric cardiac surgery has been reported. We reported a pediatric case in which the somatic rSO 2 decreased when the patient's left pulmonary artery was accidentally clipped and increased after the patent ductal artery was clipped 14 . Thus, the somatic rSO 2 during pediatric cardiac surgery may reflect blood flow in the lower body.…”

Section: Discussionmentioning

confidence: 97%

“…We reported a pediatric case in which the somatic rSO 2 decreased when the patient's left pulmonary artery was accidentally clipped and increased after the patent ductal artery was clipped. 14 Thus, the somatic rSO 2 during pediatric cardiac surgery may reflect blood flow in the lower body. Our analyses also revealed that the patients' preoperative log BNP and SpO 2 were the relevant independent variables in their baseline ScvO 2 and cerebral and somatic rSO 2 values after the induction of anesthesia.…”

Section: F I G U R Ementioning

confidence: 99%

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Association between regional oxygen saturation and central venous saturation in pediatric patients undergoing cardiac surgery: A prospective observational study

Hirai

Saito

Nakai

et al. 2023

Pediatric Anesthesia

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BackgroundWe evaluated the correlation between regional oxygen saturation (rSO2) in the frontal and right renal dorsum (cerebral rSO2 and somatic rSO2) measured by near‐infrared spectroscopy (INVOS™ 5100C, Medtronic) and central venous oxygen saturation (ScvO2) measured with a fiber‐optic oximetry catheter (PediaSat™, Edwards Lifesciences) during surgery in order to determine whether noninvasive rSO2 could be used as an alternative to ScvO2 in pediatric cardiac surgery patients. We evaluated the correlation between regional tissue oxygen saturation (cerebral rSO2 and somatic rSO2) measured by near‐infrared spectroscopy and other patient measures with central venous oxygen saturation (ScvO2) measured with a fiber‐optic oximetry catheter to track global oxygen supply demand as a potential alternative or supplement to ScvO2.Patients and MethodsThis single‐center prospective observational study enrolled 33 children (weight < 10 kg) who underwent cardiac surgery for congenital heart disease between February 2018 and November 2021. ScvO2, cerebral rSO2, and somatic rSO2 were recorded simultaneously after anesthesia induction and central venous catheter placement. Pearson's correlation coefficient and Bland–Altman analysis were used to determine the relationship between ScvO2 and rSO2. We conducted correlation, Bland Altman, and multiple regression analyses to identify associations between rSO2, patient measures, and ScvO2 values.ResultsThe patients' median age was 11.0 (quartile 2.0–16.0) months. Their weight was 7.2 (quartile 4.5–9.2) kg. Cerebral rSO2 was significantly positively correlated with ScvO2 (r2 = 0.29, p = .002 in all patients; r2 = 0.61, p = .013 in the patients without mixing at the atrial level), whereas somatic rSO2 was not. The Bland–Altman analysis demonstrated biases [95% confidence interval; 95% CI] (lower and upper limits of agreement [95% CI]) of 0.27% [−4.26 to 4.80] (−24.79 [−32.61 to −16.96] to 25.33 [17.50 to 33.16]) between cerebral rSO2 and ScvO2 and 0.91% [−5.48 to 7.30] (−34.43 [−45.47 to −23.39] to 36.25 [25.21 to 47.29]) between somatic rSO2 and ScvO2. Preoperative brain natriuretic peptide (BNP) and SpO2 were independent variables associated with ScvO2 and cerebral and somatic rSO2.ConclusionCerebral rSO2, SpO2, and BNP were significantly correlated with ScvO2, although the cerebral rSO2 correlation was greater for lesions without atrial mixing. rSO2, BNP, and SpO2 might be used to track changes in ScvO2 but cerebral rSO2 is not sufficiently precise to replace it.

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Section: Discussionmentioning

confidence: 97%

Section: F I G U R Ementioning

confidence: 99%

Association between regional oxygen saturation and central venous saturation in pediatric patients undergoing cardiac surgery: A prospective observational study

Hirai

Saito

Nakai

et al. 2023

Pediatric Anesthesia

Self Cite

View full text Add to dashboard Cite

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“…A further interesting case report on the use of somatic NIRS measurements was reported by Saito et al in the June issue of the journal [23]. They presented a case of a 14-dayold infant with a patent ductus arteriosus (PDA) which was going to be clipped.…”

Section: Near-infrared Spectroscopy (Nirs) For Monitoring Cerebral Anmentioning

confidence: 96%

Journal of Clinical Monitoring and Computing 2019 end of year summary: monitoring tissue oxygenation and perfusion and its autoregulation

Sahinovic

Vos

Scheeren

2020

J Clin Monit Comput

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Tissue perfusion monitoring is increasingly being employed clinically in a non-invasive fashion. In this end-of-year summary of the Journal of Clinical Monitoring and Computing, we take a closer look at the papers published recently on this subject in the journal. Most of these papers focus on monitoring cerebral perfusion (and associated hemodynamics), using either transcranial doppler measurements or near-infrared spectroscopy. Given the importance of cerebral autoregulation in the analyses performed in most of the studies discussed here, this end-of-year summary also includes a short description of cerebral hemodynamic physiology and its autoregulation. Finally, we review articles on somatic tissue oxygenation and its possible association with outcome.

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Patent ductus arteriosus closure and somatic regional oxyhemoglobin saturation

Cited by 2 publications

References 5 publications

Association between regional oxygen saturation and central venous saturation in pediatric patients undergoing cardiac surgery: A prospective observational study

Association between regional oxygen saturation and central venous saturation in pediatric patients undergoing cardiac surgery: A prospective observational study

Journal of Clinical Monitoring and Computing 2019 end of year summary: monitoring tissue oxygenation and perfusion and its autoregulation

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