Cerebral oxygenation monitoring in patients with bilateral carotid stenosis undergoing urgent cardiac surgery: Observational case series
| العنوان: | Cerebral oxygenation monitoring in patients with bilateral carotid stenosis undergoing urgent cardiac surgery: Observational case series |
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| المؤلفون: | Heyman Luckraz, Pankaj Kumar Mishra, Andrew Garnham, Fayaz Mohammed Khazi, Dincer Aktuerk |
| المصدر: | Annals of Cardiac Anaesthesia, Vol 19, Iss 1, Pp 59-62 (2016) Annals of Cardiac Anaesthesia |
| بيانات النشر: | Wolters Kluwer Medknow Publications, 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | Male, lcsh:Diseases of the circulatory (Cardiovascular) system, 030204 cardiovascular system & hematology, Single Center, law.invention, Postoperative Complications, 0302 clinical medicine, 030202 anesthesiology, law, Medicine, Carotid Stenosis, Prospective Studies, Stroke, Aged, 80 and over, Spectroscopy, Near-Infrared, Urgent cardiac surgery, Confounding, General Medicine, Middle Aged, Cardiac surgery, Original Article, Female, Cardiology and Cardiovascular Medicine, medicine.medical_specialty, lcsh:RD78.3-87.3, 03 medical and health sciences, Oxygen Consumption, Near-infrared spectroscopy, Bilateral carotid stenosis, Monitoring, Intraoperative, Cardiopulmonary bypass, Humans, Cardiac Surgical Procedures, Aged, Brain Chemistry, business.industry, Carbon Dioxide, Length of Stay, medicine.disease, Surgery, Oxygen, Stenosis, Anesthesiology and Pain Medicine, Clamp, lcsh:Anesthesiology, lcsh:RC666-701, Observational study, business |
| الوصف: | Background: Patients with significant bilateral carotid artery stenosis requiring urgent cardiac surgery have an increased risk of stroke and death. The optimal management strategy remains inconclusive, and the available evidence does not support the superiority of one strategy over another. Materials and Methods: A number of noninvasive strategies have been developed for minimizing perioperative stroke including continuous real-time monitoring of cerebral oxygenation with near-infrared spectroscopy (NIRS). The number of patients presenting with this combination (bilateral significant carotid stenosis requiring urgent cardiac surgery) in any single institution will be small and hence there is a lack of large randomized studies. Results: This case series describes our early experience with NIRS in a select group of patients with significant bilateral carotid stenosis undergoing urgent cardiac surgery (n = 8). In contrast to other studies, this series is a single surgeon, single center study, where the entire surgery (both distal ends and proximal ends) was performed during single aortic clamp technique, which effectively removes several confounding variables. NIRS monitoring led to the early recognition of decreased cerebral oxygenation, and corrective steps (increased cardiopulmonary bypass flow, increased pCO 2 , etc.,) were taken. Conclusion: The study shows good clinical outcome with the use of NIRS. This is our "work in progress," and we aim to conduct a larger study. |
| اللغة: | English |
| تدمد: | 0971-9784 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6323786dbc9d3179957f301d6f6c95b8Test http://www.annals.in/article.asp?issn=0971-9784;year=2016;volume=19;issue=1;spage=59;epage=62;aulast=AktuerkTest |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....6323786dbc9d3179957f301d6f6c95b8 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 09719784 |
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