Low Cerebrovenous Oxygen Saturation Predicts Disorientation

Edmonds, H. L.; Sehic, Aida; Pollock, Sammuel B.; Ganzel, Brian L.

doi:10.1097/00000542-199809160-00045

Cited by 15 publications

(5 citation statements)

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“…These findings may suggest that there is a risk of stroke in moderate stenosis.Cerebral oxygen sat values were correlated with age in patients. This may be due to the increasing rate of atherosclerosis with age(32). This may be concordant with the 2017 European Society of Cardiovascular Surgery guidelines which recommends investigating CAS over 70 years of age.…”

supporting

confidence: 78%

Can near infrared spectroscopy predict stroke in coronary artery by-pass graft?

KETENCİLER

Gemalmaz

Gültekin

2022

Anatolian Current Medical Journal

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Aim: Central nervous system may be affected after coronary artery by-pass graft (CABG) and carotid artery stenosis is an important risk factor. Near infrared spectroscopy (NIRS) is used to measure the regional cerebral oxygen concentration (rScO2). The aim of this study is to determine the relationship of rScO2 in patients with carotid artery lesion and to determine the relation of stroke with rScO2 changes. Material and Method: The patients who had cardiac bypass surgery were involved in the study. Demographic characteristics and presence of carotid artery stenosis, were collected from the files. Bilateral rSO2 measurements performed by 2 sensors. RScO2 values are detected in 5 minutes of cross-clamp (XCL5), XCL30, XCL60, XCL90, XCL120 and after the by-pass. Results: 57 patients were involved in the study (40 male and mean age 62.54±13.08). 17 (29%) patients had carotid stenosis. rScO2 levels are statistically significantly decreased in the patients with stenosis after post-clamp 30 minutes. Three patients had stroke after surgery (5.2%). Two of the patients had carotid stenosis while one patient did not have. Conclusion: RScO2 decreased in carotid artery stenosis irrespective of the degree of the stenosis after 30 minutes of cross-clamp. Cerebral perfusion follow-up is important during the CPB and NIRS is a method that can be used for this purpose.

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supporting

confidence: 78%

Can near infrared spectroscopy predict stroke in coronary artery by-pass graft?

KETENCİLER

Gemalmaz

Gültekin

2022

Anatolian Current Medical Journal

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“…In these studies, rSO 2 values lower than 50% were correlated with a high likelihood of an adverse outcome. In addition, patients who had preexisting diseases appeared to be less tolerant to low rSO 2 values [12,[18][19][20].…”

Section: Discussionmentioning

confidence: 99%

Regional cerebral saturation versus transcranial Doppler during carotid endarterectomy under regional anaesthesia

Pugliese¹,

Ruberto²,

Tosi³

et al. 2009

European Journal of Anaesthesiology

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“…Yapılan bir çalışmada KABG geçiren 211 erişkin hasta içeren analiz sunularında MMST ile NIRS değerleri ilişkisini değerlendirilmiş ve 70 yaş üstü hastaların % 20'inde, 70 yaş altındaki hastaların ise % 5'inde serebral oksijen desaturasyonu ve MMST'deki azalma anlamlı bulunmuştur. Transkranyal dopler (TCD) ve EEG parametrelerinde ise farklılık olmadığını tespit etmişlerdir [7] . Tuman ve ark.…”

Section: Gereç Ve Yöntemunclassified

The Effects Of Three Different Anesthetic Technique On Cerebral Oxygenation And Postoperative Neurocognitive Function In Open Heart Surgery

Koç¹,

Ünver²,

Aydınlı³

et al. 2014

GKDA Derg

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Bu çalışmada açık kalp cerrahisinde üç farklı anestezik ilacın beyin oksijen saturasyonu üzerine etkilerinin Near-infrared spektroskopi (NIRS) ile takibi ve postoperatif nörokognitif fonksiyonlar üzerine olan etkileri sunuldu. Gereç ve Yöntem: Çalışmaya koroner arter baypas cerrahisi planlanan, ASA II grubu 30-65 yaş arası 62 erkek hasta dahil edildi. İki hasta inotropik destek başlandığı için çalışmadan çıkarıldı. Ameliyat öncesi tüm hastalar değerlendirilip ASEM ve MMST uygulandı. Tüm hastalarda anestezi indüksiyonu; 0.1 mg/kg midazolam, 10 μgr/kg fentanil ve kas gevşemesi için 0.6-0.8 mgr/kg roküronyum bromür, idame gerektiğinde bolus 5 μgr/kg fentanil ve 0,3 mg/kg roküronyum ile gerçekleştirildi. Olgular rastgele 3 gruba ayrıldı. Tüm gruplara rutin indüksiyon sonrası, Grup I (

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Low Cerebrovenous Oxygen Saturation Predicts Disorientation

Cited by 15 publications

References 0 publications

Can near infrared spectroscopy predict stroke in coronary artery by-pass graft?

Can near infrared spectroscopy predict stroke in coronary artery by-pass graft?

Regional cerebral saturation versus transcranial Doppler during carotid endarterectomy under regional anaesthesia

The Effects Of Three Different Anesthetic Technique On Cerebral Oxygenation And Postoperative Neurocognitive Function In Open Heart Surgery

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