Regional blood flow monitoring in the perioperative period

Hemodynamics and Cardiology

Volumn , Issue , 2012, Pages 473-487

  Hoffman, George M ^a,b   Tweddell, James S ^b  

^a MEDICAL COLLEGE OF WISCONSIN   (United States)

^b Children's Hospital of Wisconsin   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 84882494892     PISSN: None     EISSN: None     Source Type: Book    
DOI: 10.1016/B978-1-4377-2763-0.00024-X     Document Type: Chapter

References (64)

1. Boushel R, Langberg H, Olesen J, et al. Monitoring tissue oxygen availability with near infrared spectroscopy (NIRS) in health and disease. Scand J Med Sci Sports 2001, 11:213-222.
2. Nollert G, Mohnle P, Tassani-Prell P, et al. Postoperative neuropsychological dysfunction and cerebral oxygenation during cardiac surgery. Thorac Cardiovasc Surg 1995, 43:260-264.
3. Kurth CD, Steven JM, Nicolson SC Cerebral oxygenation during pediatric cardiac surgery using deep hypothermic circulatory arrest. Anesthesiology 1995, 82:74-82.
4. Austin EH, Edmonds HL, Auden SM, et al. Benefit of neurophysiologic monitoring for pediatric cardiac surgery. J Thorac Cardiovasc Surg 1997, 114:707-717.
5. Andropoulos DB, Stayer SA, Diaz LK, et al. Neurological monitoring for congenital heart surgery. Anesth Analg 2004, 99:1365-1375.
6. Hoffman GM Neurologic monitoring on cardiopulmonary bypass: what are we obligated to do?. Ann Thorac Surg 2006, 81:S2373-S2380.
7. Wernovsky G, Ghanayem N, Ohye RG, et al. Hypoplastic left heart syndrome: consensus and controversies in 2007. Cardiol Young 2007, 17(Suppl 2):75-86.
8. Tweddell JS, Ghanayem NS, Hoffman GM Pro: NIRS is "standard of care" for postoperative management. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2010, 13:44-50.
9. Hirsch JC, Charpie JR, Ohye RG, et al. Near infrared spectroscopy (NIRS) should not be standard of care for postoperative management. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2010, 13:51-54.
10. Ghanayem NS, Wernovsky G, Hoffman GM Near-infrared spectroscopy as a hemodynamic monitor in critical illness. Pediatr Crit Care Med 2011, 12(Suppl 4):S27-S32.
11. Booth EA, Dukatz C, Ausman J, et al. Cerebral and somatic venous oximetry in adults and infants. Surg Neurol Int 2010, 1:75.
12. Pigula FA, Nemoto EM, Griffith BP, et al. Regional low-flow perfusion provides cerebral circulatory support during neonatal aortic arch reconstruction. J Thorac Cardiovasc Surg 2000, 119:331-339.
13. Pigula FA, Gandhi SK, Siewers RD, et al. Regional low-flow perfusion provides somatic circulatory support during neonatal aortic arch surgery. Ann Thorac Surg 2001, 72:401-407.
14. Hoffman GM, Stuth EA, Jaquiss RD, et al. Changes in cerebral and somatic oxygenation during stage 1 palliation of hypoplastic left heart syndrome using continuous regional cerebral perfusion. J Thorac Cardiovasc Surg 2004, 127:223-233.
15. Berens RJ, Stuth EA, Robertson FA, et al. Near infrared spectroscopy monitoring during pediatric aortic coarctation repair. Paediatr Anaesth 2006, 16:777-781.
16. Kussman BD, Wypij D, Laussen PC, et al. Relationship of intraoperative cerebral oxygen saturation to neurodevelopmental outcome and brain magnetic resonance imaging at 1 year of age in infants undergoing biventricular repair. Circulation 2010, 122:245-254.
17. Hoffman GM, Mussatto KA, Brosig CL, et al. Cerebral oxygenation and neurodevelopmental outcome in hypoplastic left heart syndrome Available from, Accessed 09.02.12. http://www.asaabstracts.com/strands/asaabstracts/abstract.htm?year=2008% 26index=16%26absnum=1990.
18. Hoffman GM, Wider MD Organ specificity of rSO2 Measurements during regional ischemia in piglets. Anesthesiology [Internet] 2008, 109:A1512. Accessed 09.02.12. http://www.asaabstracts.com/strands/asaabstracts/abstract.htm?year=2008% 26index=9%26absnum=1984.
19. Hoffman GM, Wider MD Changes in regional oxygenation by NIRS during global ischemia in piglets. Anesthesiology 2008, 109:A1512.
20. Ortmann LA, Fontenot EE, Seib PM, et al. Use of near-infrared spectroscopy for estimation of renal oxygenation in children with heart disease. Pediatr Cardiol 2011, 32:748-753.
21. Bernal N, Hoffman G, Ghanayem N, et al. Cerebral and somatic near-infrared spectroscopy in normal newborns. J Pediatr Surg 2010, 45:1306-1310.
22. Johnson BA, Hoffman GM, Tweddell JS, et al. Near-infrared spectroscopy in neonates before palliation of hypoplastic left heart syndrome. Ann Thorac Surg 2009, 87:571-579.
23. Hoffman GM, Ghanayem NS, Stuth EA, et al. NIRS-derived somatic and cerebral saturation difference provides non-invasive real-time hemodynamic assessment of cardiogenic shock and risk of anaerobic metabolism. Anesthesiology [Internet] 2004, 99:A1448. Accessed 09.02.12. http://www.asaabstracts.com/strands/asaabstracts/abstract.htm?year=2008% 26index=9%26absnum=1984.
24. Tweddell JS, Ghanayem NS, Mussatto KA, et al. Mixed venous oxygen saturation monitoring after stage 1 palliation for hypoplastic left heart syndrome. Ann Thorac Surg 2007, 84:1301-1311.
25. Rivers E, Nguyen B, Havstad S, et al. Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med 2001, 345:1368-1377.
26. de Oliveira CF, de Oliveira DS, Gottschald AF, et al. ACCM/PALS haemodynamic support guidelines for paediatric septic shock: an outcomes comparison with and without monitoring central venous oxygen saturation. Intensive Care Med 2008, 34:1065-1075.
27. Tortoriello TA, Stayer SA, Mott AR, et al. A noninvasive estimation of mixed venous oxygen saturation using near-infrared spectroscopy by cerebral oximetry in pediatric cardiac surgery patients. Paediatr Anaesth 2005, 15:495-503.
28. Li J, Van Arsdell GS, Zhang G, et al. Assessment of the relationship between cerebral and splanchnic oxygen saturations measured by near-infrared spectroscopy and direct measurements of systemic haemodynamic variables and oxygen transport after the Norwood procedure. Heart 2006, 92:1678-1685.
29. Moran M, Miletin J, Pichova K, et al. Cerebral tissue oxygenation index and superior vena cava blood flow in the very low birth weight infant. Acta Paediatr 2009, 98:43-46.
30. Hoffman GM, Ghanayem NS, Tweddell JS Noninvasive assessment of cardiac output. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2005, 12-21.
31. Hoffman GM, Ghanayem NS, Kampine JM, et al. Venous saturation and the anaerobic threshold in neonates after the Norwood procedure for hypoplastic left heart syndrome. Ann Thorac Surg 2000, 70:1515-1521.
32. Tweddell JS, Hoffman GM, Fedderly RT, et al. Phenoxybenzamine improves systemic oxygen delivery after the Norwood procedure. Ann Thorac Surg 1999, 67:161-168.
33. Kaufman J, Almodovar MC, Zuk J, et al. Correlation of abdominal site near-infrared spectroscopy with gastric tonometry in infants following surgery for congenital heart disease. Pediatr Crit Care Med 2008, 9:62-68.
34. Hoffman GM, Ghanayem NS, Mussatto KA, et al. Postoperative two-site NIRS predicts complications and mortality after stage 1 palliation of HLHS. Anesthesiology [Internet] 2007, 107:A234. Accessed 09.02.12. http://www.asaabstracts.com/strands/asaabstracts/abstract.htm?year=2007% 26index=16%26absnum=1585.
35. Kleinman ME, Chameides L, Schexnayder SM, et al. Pediatric advanced life support: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Pediatrics 2010, 126:e1361-e1399.
36. Tibby S, Hoffman GM Resuscitation of the patient with single ventricle. Peds-059b. Worksheet for Evidence-Based Review of Science for Emergency Cardiac Care. International Liaison Committee on Resuscitation Accessed 1 May 2011 at. http://circ.ahajournals.org/site/C2010/Peds-059.pdf.
37. Green D, Paklet L Latest developments in peri-operative monitoring of the high-risk major surgery patient. Int J Surg 2010, 8:90-99.
38. Tweddell JS, Hoffman GM, Mussatto KA, et al. Improved survival of patients undergoing palliation of hypoplastic left heart syndrome: lessons learned from 115 consecutive patients. Circulation 2002, 106:I82-I89.
39. Wypij D, Newburger JW, Rappaport LA, et al. The effect of duration of deep hypothermic circulatory arrest in infant heart surgery on late neurodevelopment: the Boston Circulatory Arrest Trial. J Thorac Cardiovasc Surg 2003, 126:1397-1403.
40. Kurth CD, Levy WJ, McCann J Near-infrared spectroscopy cerebral oxygen saturation thresholds for hypoxia-ischemia in piglets. J Cereb Blood Flow Metab 2002, 22:335-341.
41. Kurth CD, McCann JC, Wu J, et al. Cerebral oxygen saturation-time threshold for hypoxic-ischemic injury in piglets. Anesth Analg 2009, 108:1268-1277.
42. Greeley WJ, Ungerleider RM, Kern FH, et al. Effects of cardiopulmonary bypass on cerebral blood flow in neonates, infants, and children. Circulation 1989, 80:I209-I215.
43. Greeley WJ, Kern FH, Meliones JN, et al. Effect of deep hypothermia and circulatory arrest on cerebral blood flow and metabolism. Ann Thorac Surg 1993, 56:1464-1466.
44. Dexter F, Hindman BJ Theoretical analysis of cerebral venous blood hemoglobin oxygen saturation as an index of cerebral oxygenation during hypothermic cardiopulmonary bypass. A counterproposal to the "luxury perfusion" hypothesis. Anesthesiology 1995, 83:405-412.
45. Dexter F, Kern FH, Hindman BJ, Greeley WJ The brain uses mostly dissolved oxygen during profoundly hypothermic cardiopulmonary bypass. Ann Thorac Surg 1997, 63:1725-1729.
46. Kadoi Y, Kawahara F, Saito S, et al. Effects of hypothermic and normothermic cardiopulmonary bypass on brain oxygenation. Ann Thorac Surg 1999, 68:34-39.
47. Sakamoto T, Zurakowski D, Duebener LF, et al. Interaction of temperature with hematocrit level and pH determines safe duration of hypothermic circulatory arrest. J Thorac Cardiovasc Surg 2004, 128:220-232.
48. Hagino I, Anttila V, Zurakowski D, et al. Tissue oxygenation index is a useful monitor of histologic and neurologic outcome after cardiopulmonary bypass in piglets. J Thorac Cardiovasc Surg 2005, 130:384-392.
49. Sakamoto T, Hatsuoka S, Stock UA, et al. Prediction of safe duration of hypothermic circulatory arrest by near-infrared spectroscopy. J Thorac Cardiovasc Surg 2001, 122:339-350.
50. Hoffman GM, Ghanayem NS Perioperative neuromonitoring in pediatric cardiac surgery: techniques and targets. Progress in Pediatric Cardiology 2010, 29:123-130.
51. Hoffman GM, Mussatto KA, Brosig CL, et al. Systemic venous oxygen saturation after the Norwood procedure and childhood neurodevelopmental outcome. J Thorac Cardiovasc Surg 2005, 130:1094-1100.
52. Uebing A, Furck AK, Hansen JH, et al. Perioperative cerebral and somatic oxygenation in neonates with hypoplastic left heart syndrome or transposition of the great arteries. J Thorac Cardiovasc Surg 2011 Sep, 142(3):523-530.
53. Hoffman G, Groneck J, Mussatto K, et al. Modified pH strategy during antegrade cerebral perfusion improves cerebral hemodynamics. Anesthesiology 2009, A687.
54. Dent CL, Spaeth JP, Jones BV, et al. Brain magnetic resonance imaging abnormalities after the Norwood procedure using regional cerebral perfusion. J Thorac Cardiovasc Surg 2006, 131:190-197.
55. Owens GE, King K, Gurney JG, et al. Low renal oximetry correlates with acute kidney injury after infant cardiac surgery. Pediatr Cardiol 2011, 32:183-188.
56. Hoffman GM, Ghanayem NS, Mussatto KA, et al. Perioperative perfusion assessed by somatic NIRS predicts postoperative renal dysfunction. Anesthesiology [Internet] 2005, 103:A1327. Accessed 09.02.12. http://www.asaabstracts.com/strands/asaabstracts/abstract.htm?year=2005% 26index=15%26absnum=1769.
57. Furtado N, Beier UH, Gorla SR, et al. The effect of indomethacin on systemic and renal hemodynamics in neonatal piglets during experimental endotoxemia. Pediatr Surg Int 2008, 24:907-911.
58. Fortune PM, WagstaffM, Petros AJ Cerebro-splanchnic oxygenation ratio (CSOR) using near infrared spectroscopy may be able to predict splanchnic ischaemia in neonates. Intensive Care Med 2001, 27:1401-1407.
59. Petrova A, Bhatt M, Mehta R Regional tissue oxygenation in preterm born infants in association with echocardiographically significant patent ductus arteriosus. J Perinatol 2011, 31(7):460-466.
60. Tabbutt S, Ramamoorthy C, Montenegro LM, et al. Impact of inspired gas mixtures on preoperative infants with hypoplastic left heart syndrome during controlled ventilation. Circulation 2001, 104:I159-I164.
61. Ramamoorthy C, Tabbutt S, Kurth CD, et al. Effects of inspired hypoxic and hypercapnic gas mixtures on cerebral oxygen saturation in neonates with univentricular heart defects. Anesthesiology 2002, 96:283-288.
62. Hoffman GM, Ghanayem NS, Musa N, et al. Differential effects of carbon dioxide tension on cerebral and somatic oxygenation assessed by near infrared spectroscopy in postoperative neonates. Anesthesiology [Internet] 2005, 103:A1374. Accessed 09.02.12. http://www.asaabstracts.com/strands/asaabstracts/abstract.htm?year=2005% 26index=15%26absnum=1852.
63. Ghanayem NS, Hoffman GM, Mussatto KA, et al. Perioperative monitoring in high-risk infants after stage 1 palliation of univentricular congenital heart disease. J Thorac Cardiovasc Surg 2010, 140:857-863.
64. Ghanayem NS, Hoffman GM, Mussatto KA, et al. Home surveillance program prevents interstage mortality after the Norwood procedure. J Thorac Cardiovasc Surg 2003, 126:1367-1377.