التفاصيل البيبلوغرافية
| العنوان: |
Usefulness of bilateral cerebral regional oxygen saturation measurements in determining selective cerebral perfusion flow rate in a pediatric patient with aortic arch stenosis: a case report. |
| المؤلفون: |
Saito, Junichi, Ichikawa, Shino, Kudo, Reiko, Saito, Kurumi, Kiyokawa, Masayo, Kushikata, Tetsuya |
| المصدر: |
JA Clinical Reports; 9/17/2024, p1-4, 4p |
| مصطلحات موضوعية: |
INDUCED cardiac arrest, THORACIC aorta, OXYGEN saturation, CHILD patients, JAPANESE people |
| مستخلص: |
Background: We report a pediatric case where bilateral regional oxygen saturation (rSO2) measurements were useful in determining the selective cerebral perfusion (SCP) flow rate. Case presentation: A 9-year-old Japanese boy, 128 cm tall and weighing 25.6 kg, was scheduled for aortic arch reconstruction due to a 90–100 mmHg pressure gradient. Pediatric-sized oximetry sensors were attached to the bilateral forehead area. The rSO2 levels were 70–80% on the right and 80–90% on the left during cardiopulmonary bypass. Immediately following deep hypothermic circulatory arrest with the body temperature cooled to 25 °C, SCP was initiated from the right brachiocephalic artery at 10 mL/kg/min. As the rSO2 decreased steeply to 43–45% on the right and to 32–38% on the left, the SCP flow was increased to 15 mL/kg/min. The right rSO2 increased promptly to 50–60%, but the left rSO2 remained at 30–40%. After the SCP flow was increased to 20 mL/kg/min, bilateral rSO2 levels of 50–60% were obtained, and the SCP flow rate was maintained. The patient was transferred to the ICU postoperatively and extubated on the second postoperative day with no neurological abnormalities. Conclusions: Bilateral rSO2 measurements are essential even for a pediatric patient undergoing SCP, despite the limited forehead area. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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