ArticleJournal of artificial organs : the official journal of the Japanese Society for Artificial Organs2017
Factors associated with a low initial cerebral oxygen saturation value in patients undergoing cardiac surgery.
Article in Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Near-infrared spectroscopy device selection affects intervention management for cerebral desaturation during cardiopulmonary bypass surgery.General thoracic and cardiovascular surgery · 2022Trial
- The Potential Role of Lung-Protective Ventilation in Preventing Postoperative Delirium in Elderly Patients Undergoing Prone Spinal Surgery: A Preliminary Study.Medical science monitor : international medical journal of experimental and clinical research · 2020Trial
- The association between postoperative cognitive dysfunction and cerebral oximetry during cardiac surgery: a secondary analysis of a randomised trial.British journal of anaesthesia · 2019Trial
- Predictive role of regional thigh tissue oxygen saturation monitoring during cardiopulmonary bypass in lung injury after cardiac surgery.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2024Article
- Cerebral regional oxygen saturation as a predictive parameter for preoperative heart failure and delayed hemodynamic recovery in transcutaneous aortic valve implantation: a retrospective cohort study.Journal of clinical monitoring and computing · 2024Article
- Observational
- Utility of cerebral oximetry in balloon mitral valvotomy and its correlation with post-procedure neurological complications: A pragmatic prospective observational study.Indian journal of anaesthesia · 2023Article
- Cerebral Tissue Oxygen Saturation Is Enhanced in Patients following Transcatheter Aortic Valve Implantation: A Retrospective Study.Journal of clinical medicine · 2022Article
- Cerebral oxygen saturation (rSOJournal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2021Article
- Continuous monitoring of changes in cerebral oxygenation during hemodialysis in a patient with acute congestive heart failure.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2020Article
- Changes in tissue oxygenation in response to sudden intradialytic hypotension.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2020Article
- Cerebral oximetry for cardiac surgery: a preoperative comparison of device characteristics and pitfalls in interpretation.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2018Article
- Journal of Artificial Organs 2017: the year in review : Journal of Artificial Organs Editorial Committee.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2018Review
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16 authors.
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Abstract
Regional cerebral oximetry using near-infrared spectroscopy device, an INVOS 5100 C (Medtronic, Minneapolis, MN, USA), during cardiac surgery aims to avoid perioperative neurological impairment, especially during cardiopulmonary bypass. However, it is not uncommon to encounter critically low initial cerebral regional oxygen saturation or a low value unresponsive to intervention. Therefore, it is important to identify factors associated with low saturation value other than true cerebral hypoxia. We investigated the relationship between preoperative regional cerebral oxygen saturation and clinical variables during cardiac surgery. From January 2013 to May 2016, 462 patients underwent elective cardiac surgery. Patient's ≤12 years of age, with acute cerebral infarction, with previous intracranial hemorrhage or neurosurgery, with concomitant aortic surgery, and having off-pump coronary artery bypass surgery were excluded. The remaining 223 patients were monitored by intraoperative regional cerebral oximetry. Univariate analysis found that scalp-cortex distance, cerebrospinal fluid thickness, left ventricular ejection fraction, hemoglobin concentration, estimated glomerular filtration rate, and hemodialysis were significantly correlated with the initial regional oxygen saturation value. Multiple regression analysis revealed that scalp-cortex distance, left ventricular ejection fraction, hemoglobin, and hemodialysis remained as significant variables. A receiver operating characteristic analysis found that for a low initial regional oxygen saturation value of 40%, the thresholds of scalp-cortex distance, left ventricular ejection fraction, and hemoglobin concentration were 17.6 mm, 45.2%, and 7.5 g/dl, respectively. In conclusion, brain atrophy, poor left ventricular function, anemia, and hemodialysis were associated with low initial cerebral regional oxygen saturation values in adult cardiac surgery patients.
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