The Role of Regional Oxygen Saturation Using Near-Infrared Spectroscopy and Blood Lactate Levels as Early Predictors of Outcome After Pediatric Cardiac Surgery

Vida, Vladimiro L.; Tessari, Chiara; Cristante, Alessia; Nori, Roberta; Pittarello, Demetrio; Ori, Carlo; Cogo, Paola; Perissinotto, Egle; Stellin, Giovanni

doi:10.1016/j.cjca.2015.09.024

Cited by 23 publications

(17 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It was suggested to implement NIRS as a standardized tool for monitoring ScO 2 in the postoperative period, since time points such as right after weaning from CPB or a few hours postoperatively helped in predicting complications in the early postoperative phase. 41,42,44,45 Finally, a study in healthy adults showed that ScO 2 readings can be affected by extracranial ''contamination'', suggesting that ScO 2 does not solely reflect cerebral oxygenation. 46 This issue has, however, not yet been studied in pediatric patients, and it is unknown to which extent this might have impacted the observed associations in our study.…”

Section: Study Limitationsmentioning

confidence: 99%

Cerebral oxygenation during pediatric congenital cardiac surgery and its association with outcome: a retrospective observational study

Modestini

Hoffmann

Niezen

et al. 2020

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

Purpose Non-invasive cerebral oxygen saturation (ScO 2 ) monitoring is an established tool in the intraoperative phase of pediatric congenital cardiac surgery (CCS). This study investigated the association between ScO 2 and postoperative outcome by investigating both baseline ScO 2 values and intraoperative desaturations from baseline. Methods All CCS procedures performed in the period 2010-2017 in our institution in which ScO 2 was monitored were included in this historical cohort study. Baseline ScO 2 was determined after tracheal intubation, before surgical incision. Subgroups were based on cardiac pathology and degree of intracardiac shunting. Poor outcome was defined based on length of stay (LOS) in the intensive care unit (ICU)/hospital, duration of mechanical ventilation (MV),

show abstract

Section: Study Limitationsmentioning

confidence: 99%

Cerebral oxygenation during pediatric congenital cardiac surgery and its association with outcome: a retrospective observational study

Modestini

Hoffmann

Niezen

et al. 2020

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

show abstract

“…Cerebral oximetry can assess the brainís supplydemand oxygen balance and the results are comparable to other invasive techniques such as jugular venous blood saturation measurement methods (1)(2)(3) . Postoperative complications associated with pediatric cardiac surgery were observed more frequently in younger age, underweight patients, patients undergoing complex congenital heart surgery, and prolonged bypass (9,10) . Vida VL et al (10) stated that the patients who developed complications were underweight, at younger age and with higher desaturation scores.…”

Section: Discussionmentioning

confidence: 99%

“…Postoperative complications associated with pediatric cardiac surgery were observed more frequently in younger age, underweight patients, patients undergoing complex congenital heart surgery, and prolonged bypass (9,10) . Vida VL et al (10) stated that the patients who developed complications were underweight, at younger age and with higher desaturation scores. They found that the development of complications (51% vs 22%, p=0.007) and mortality (15% vs 4.3%, p=0.05) rates were higher in the neonatal group than in the infant group.…”

Section: Discussionmentioning

confidence: 99%

Relationship Between Intraoperative Cerebral Desaturation and Postoperative Complications In Pediatric Patients Undergoing Congenital Heart Surgery: Prospective Cohort Study

Şahutoğlu¹,

Kocabaş²,

Aşkar³

2021

BUCH

View full text Add to dashboard Cite

Objective: In this study, we aimed to investigate the incidence of cerebral desaturation and the possible relationship between intraoperative cerebral desaturation and postoperative complications. Methods: A prospective, observational study was performed 115 patients under 18 years of age who required open heart surgery in a university hospital. Cerebral desaturation was defined as a 25% decrease in cerebral saturation (low alarm limit) when compared with the basal value. Duration (second) was referred to the amount of time the patient stays below low alarm limit. Depth (%) was referred to gap between the patient’s cerebral regional oxygen saturation (rSO2) level and the rSO2 low alarm limit. The cerebral desaturation score was calculated using the %*seconds. The patients were divided into two groups: group 1 (desaturation score >3000 %sec) and group 2 (desaturation score ≤ 3000 %sec). The groups were compared in terms of demographic data, intraoperative and postoperative variables, postoperative complications, and duration of intensive care and hospital stays. Results: In the study, 59 patients (51.3%) were male and 28 patients (24.3%) had cyanotic heart disease. A total of 55 patients (47.8%) experienced over 3000 %sec desaturation. Postoperative complications were found to be increased in group 1 (71% vs 3.3%; χ²=57.119, p<0.001). In the multiple logistic regression analysis, desaturation score>3000 %sec (p<0.001), low body surface area (p=0.001) and prolonged cardiopulmonary bypass (p=0.006) were found to be associated with postoperative complications. Conclusion: In patients undergoing congenital heart surgery, cerebral desaturation score >3000 %sec is associated with a negative effect on patient prognosis.

show abstract

“…Desaturation was defined as Sct o 2 below 65%. Mean Sct o 2 and dose of desaturation were computed from the continuous Sct o 2 signal as possible predictors of lower total IQ at 2-year follow-up ( 13 , 15 , 16 ). The dose of desaturation combines the intensity and the duration of Sct o 2 less than 65% (unit of measurement in %·min)—a detailed description of the computation method is included in Supplemental Digital Content 2 ( http://links.lww.com/CCM/G139 ).…”

Section: Methodsmentioning

confidence: 99%

Postoperative Cerebral Oxygen Saturation in Children After Congenital Cardiac Surgery and Long-Term Total Intelligence Quotient: A Prospective Observational Study

Carra

Flechet

Jacobs

et al. 2021

Critical Care Medicine

View full text Add to dashboard Cite

show abstract

The Role of Regional Oxygen Saturation Using Near-Infrared Spectroscopy and Blood Lactate Levels as Early Predictors of Outcome After Pediatric Cardiac Surgery

Cited by 23 publications

References 24 publications

Cerebral oxygenation during pediatric congenital cardiac surgery and its association with outcome: a retrospective observational study

Cerebral oxygenation during pediatric congenital cardiac surgery and its association with outcome: a retrospective observational study

Relationship Between Intraoperative Cerebral Desaturation and Postoperative Complications In Pediatric Patients Undergoing Congenital Heart Surgery: Prospective Cohort Study

Postoperative Cerebral Oxygen Saturation in Children After Congenital Cardiac Surgery and Long-Term Total Intelligence Quotient: A Prospective Observational Study

Contact Info

Product

Resources

About