Assessment of Cerebral Oxygen Balance During Deep Hypothermic Circulatory Arrest by Continuous Jugular Bulb Venous Saturation and Near-Infrared Spectroscopy

Journal of Cardiothoracic and Vascular Anesthesia

Volumn 20, Issue 6, 2006, Pages 826-833

  Leyvi, Galina ^a   Bello, Ricardo ^a   Wasnick, John D ^b   Plestis, Konstantinos ^c  

^a ALBERT EINSTEIN COLLEGE OF MEDICINE   (United States)

^b ST LUKE S ROOSEVELT HOSPITAL CENTER   (United States)

^c MOUNT SINAI MEDICAL CENTER   (United States)

Author keywords

deep hypothermic circulatory arrest; jugular venous bulb saturation; near infrared spectroscopy; regional cerebral oximetry

Indexed keywords

ADULT; AGED; AORTA SURGERY; ARTICLE; BLOOD GAS ANALYSIS; CLINICAL ARTICLE; CONTROLLED STUDY; CORRELATION ANALYSIS; FEMALE; HEART ARREST; HUMAN; LOW TEMPERATURE; MALE; NEAR INFRARED REFLECTANCE SPECTROSCOPY; OXYGEN SATURATION; PRIORITY JOURNAL; PROSPECTIVE STUDY; TEACHING HOSPITAL;

AGED; ANTICOAGULANTS; BLOOD GAS ANALYSIS; CARDIAC SURGICAL PROCEDURES; CEREBROVASCULAR CIRCULATION; CIRCULATORY ARREST, DEEP HYPOTHERMIA INDUCED; FEMALE; HEPARIN; HUMANS; JUGULAR VEINS; MALE; MONITORING, INTRAOPERATIVE; OXIMETRY; OXYGEN; PROSPECTIVE STUDIES; SPECTROSCOPY, NEAR-INFRARED; TIME FACTORS;

EID: 33751318034     PISSN: 10530770     EISSN: None     Source Type: Journal    
DOI: 10.1053/j.jvca.2006.01.001     Document Type: Article

References (35)

1. Ergin M.A., Griepp R.B., Lansman S.L., et al. Hypothermic circulatory arrest and other methods of cerebral protection during operations on the thoracic aorta. J Card Surg 9 (1994) 525-537
2. Croughwell N.D., Newman M.F., Blumenthal J.A., et al. Jugular bulb saturation and cognitive dysfunction after cardiopulmonary bypass. Ann Thorac Surg 58 (1994) 1702-1708
3. Croughwell N.D., Frasco P., Blumenthal J.A., et al. Warming during cardiopulmonary bypass is associated with jugular bulb desaturation. Ann Thorac Surg 53 (1992) 827-832
4. Yao F.S., Tseng C.C., Ho C.Y., et al. Cerebral oxygenation is correlated with early postoperative neuropsychological dysfunction in patients undergoing cardiac surgery. J Cardiothorac Vasc Anesth 18 (2004) 552-558
5. Higami T., Kozawa S., Asada T., et al. Retrograde cerebral perfusion versus selective cerebral perfusion as evaluated by cerebral oxygenation during aortic arch reconstruction. Ann Thorac Surg 67 (1999) 1091-1096
6. Levy W.J., Levin S., and Chance B. Near-infrared measurement of cerebral oxygenation. Anesthesiology 83 (1995) 738-746
7. Ausman J.I., McCormick P.W., Stewart M., et al. Cerebral oxygen metabolism during hypothermic circulatory arrest in humans. J Neurosurg 79 (1993) 810-815
8. Kurth C.D., Steven J.M., Nicolson S.C., et al. Cerebral oxygenation during pediatric cardiac surgery using deep hypothermic circulatory arrest. Anesthesiology 82 (1995) 74-82
9. Kurth C.D., Steven J.M., Nicolson S.C., et al. Kinetics of cerebral deoxygenation during deep hypothermic circulatory arrest in neonates. Anesthesiology 77 (1992) 656-661
10. Abdul-Khaliq H., Troitzsch D., Schubert S., et al. Cerebral oxygen monitoring during neonatal cardiopulmonary bypass and deep hypothermic circulatory arrest. Thorac Cardiovasc Surg 50 (2002) 77-81
11. Daubeney P.E., Pilkington S.N., Janke E., et al. Cerebral oxygenation measured by near-infrared spectroscopy: Comparison with jugular bulb oximetry. Ann Thorac Surg 61 (1996) 930-934
12. Aono M., Sata J., and Nishino T. Regional cerebral oxygen saturation as a monitor of cerebral oxygenation and perfusion during deep hypothermic circulatory arrest and selective cerebral perfusion. Masui 47 (1998) 335-340
13. Ishida K., Ohtake K., and Gohara T. Dissociation between regional cerebral and jugular venous oxygen saturation in cardiovascular surgery with hypothermic cardiopulmonary bypass. Anesth Analg 96 (2003) S-60
14. Yamashita K., Kazui T., Terada H., et al. Cerebral oxygenation monitoring for total arch replacement using selective cerebral perfusion. Ann Thorac Surg 72 (2001) 503-508
15. Schell R.M., and Cole D.J. Cerebral monitoring: Jugular oximetry. Anesth Analg 90 (2000) 559-566
16. Svensson L.G., Blackstone E.H., Rajeswaran J., et al. Does the arterial cannulation site for circulatory arrest influence stroke risk?. Ann Thorac Surg 78 (2004) 1274-1284
17. Hanel F., Von Knobelsdorff G., and Werner C. Hypercapnia prevents jugular bulb desaturation during rewarming from hypothermic cardiopulmonary bypass. Anesthesiology 89 (1998) 19-23
18. Augoustides J.G., Floyd T.F., McGarvey M.L., et al. Major clinical outcome in adults undergoing thoracic aortic surgery requiring deep hypothermic circulatory arrest: Quantification of organ-based perioperative outcome and detection of opportunities for perioperative intervention. J Cardiothorac Vasc Anesth 19 (2005) 446-452
19. Ogino H., Ueda Y., Sugita T., et al. Monitoring of regional cerebral oxygenation by near-infrared spectroscopy during continuous retrograde cerebral perfusion for aortic arch surgery. Eur J Cardiothorac Surg 14 (1998) 415-418
20. Loubser P.G. Assessment of arteriovenous blood flow during retrograde cerebral perfusion. J Cardiothorac Vasc Anesth 13 (1999) 173-175
21. McCullough J.N., Zhang N., Reich D.L., et al. Cerebral metabolic suppression during hypothermic circulatory arrest in humans. Ann Thorac Surg 67 (1999) 1895-1899
22. Griepp R.B., Ergin M.A., McCullough J.N., et al. Use of hypothermic circulatory arrest for cerebral protection during surgery. J Card Surg 12 (1997) 312-321
23. Altman D.I., Young R.S.K., and Yagel S.K. Effect of dexamethasone in hypoxic ischemic brain injury in the neonatal rat. Biol Neonate 46 (1984) 149-156
24. Yoshimoto T., Sakamoto T., Watanabe T., et al. Experimental cerebral infarction, part 3: Prospective effect of mannitol in thalamic infarction in dogs. Stroke 9 (1978) 217-218
25. Li Z.J., Yin X.M., and Ye J. Effect pf pH management during deep hypothermic bypass on cerebral oxygenation: Alpha-stat versus pH-stat. Jzhejiang Univ Sci 5 (2004) 1290-1297
26. Pollard V., Prough D.S., DeMelo A.E., et al. Validation in volunteers of near-infrared spectroscope for monitoring brain oxygenation in vivo. Anesth Analg 82 (1996) 269-277
27. Henson L.C., Calalang C., Temp J.A., et al. Accuracy of a cerebral oximeter in healthy volunteers under conditions of isocapnic hypoxia. Anesthesiology 88 (1998) 58-65
28. Mchedlishvili G.I. Arterial Behavior and Blood Circulation in the Brain (1986), Plenum, New York, NY 55-60
29. Waltzman H.M., Kurth C.D., Montenegro L.M., et al. Arterial and venous contribution to near-infrared cerebral oximetry. Anesthesiology 93 (2000) 947-953
30. Sapire K.J., Gopinath S.P., Farhat G., et al. Cerbral oxygenation during warming after cardiopulmonary bypass. Crit Care Med 25 (1997) 1655-1662
31. Yoshitani K., Kawaguchi M., Iwata M., et al. Comparison of changes in jugular venous bulb oxygen saturation and cerebral oxygen saturation during variations of haemoglobin concentration under propofol and sevoflurane anaesthesia. Br J Anaesth 94 (2005) 341-346
32. Lassnigg A., Hiesmayr M., Keznickl P., et al. Cerebral oxygenation during cardiopulmonary bypass measured by near-infrared spectroscopy: Effect of hemodilution, temperature, and flow. J Cardiothorac Vasc Anesth 13 (1999) 544-548
33. Kiziltan H.T., Baltali M., and Koca D. Reduced jugular venous oxygen saturation during rewarming from deep hypothermic circulatory arrest: Cerebral overextraction?. Cardiovasc Surg 11 (2003) 213-217
34. Reich D.L., Horn L.M., Hossain S., et al. Using jugular bulb oxyhemoglobin saturation to guide onset of deep hypothermic circulatory arrest does not affect postoperative neuropsychological function. Euro J Cardiothorac Surg 25 (2004) 401-406
35. Dexter F., and Hindman B.J. Theoretical analysis of cerebral venous blood hemoglobin oxygen saturation as an index of cerebral oxygenation during hypothermic cardiopulmonary bypass. Anesthesiology 83 (1995) 405-412