Splanchnic oxygen saturation immediately after weaning from cardiopulmonary bypass can predict early postoperative outcomes in children undergoing congenital heart surgery

Pediatric Cardiology

Volumn 35, Issue 4, 2014, Pages 587-595

  Kim, Jung Won ^a   Shin, Won Jung ^a   Park, Inkyung ^a   Chung, In Sun ^b   Gwak, Mijeung ^a   Hwang, Gyu Sam ^a  

^a University of Ulsan College of Medicine   (South Korea)

^b Seoul Medical Center   (South Korea)

Author keywords

Congenital heart surgery; Mechanical ventilation; Postoperative hospital length; Regional oxygen saturation; Vasoactive inotropic score

Indexed keywords

LACTIC ACID; OXYGEN;

AORTA COARCTATION; ARTERIAL PH; ARTICLE; ARTIFICIAL VENTILATION; CARDIOPULMONARY BYPASS; CHILD; CONTROLLED STUDY; ELECTRONIC MEDICAL RECORD; FEMALE; HEART SURGERY; HOSPITALIZATION; HUMAN; INFANT; LACTATE BLOOD LEVEL; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MEAN ARTERIAL PRESSURE; MEDICAL RECORD REVIEW; NEAR INFRARED SPECTROSCOPY; OUTCOME ASSESSMENT; OXYGEN SATURATION; PEDIATRIC SURGERY; POSTOPERATIVE PERIOD; PRESCHOOL CHILD; REGIONAL OXYGEN SATURATION; RETROSPECTIVE STUDY; SPLANCHNIC BLOOD FLOW;

CARDIAC SURGICAL PROCEDURES; CARDIOPULMONARY BYPASS; CARDIOTONIC AGENTS; CHILD, PRESCHOOL; FEMALE; FOLLOW-UP STUDIES; HEART DEFECTS, CONGENITAL; HUMANS; INFANT; INFANT, NEWBORN; LENGTH OF STAY; MALE; OXIMETRY; OXYGEN CONSUMPTION; POSTOPERATIVE COMPLICATIONS; PROGNOSIS; RESPIRATION, ARTIFICIAL; RETROSPECTIVE STUDIES; ROC CURVE; SPLANCHNIC CIRCULATION; TIME FACTORS;

EID: 84897105029     PISSN: 01720643     EISSN: 14321971     Source Type: Journal    
DOI: 10.1007/s00246-013-0824-z     Document Type: Article

References (32)

1. Absi MA, Lutterman J, Wetzel GT (2010) Noninvasive cardiac output monitoring in the pediatric cardiac intensive care unit. Curr Opin Cardiol 25:77-79
2. Andropoulos DB, Stayer SA, McKenzie ED, Fraser CD Jr (2003) Novel cerebral physiologic monitoring to guide low-flow cerebral perfusion during neonatal aortic arch reconstruction. J Thorac Cardiovasc Surg 125:491-499 (Pubitemid 36373894)
3. Balaguru D, Bhalala U, Haghighi M, Norton K (2011) Computed tomography scan measurement of abdominal wall thickness for application of near-infrared spectroscopy probes to monitor regional oxygen saturation index of gastrointestinal and renal circulations in children. Pediatr Crit Care Med 12:e145-e148
4. Bhutta AT, Ford JW, Parker JG, Prodhan P, Fontenot EE, Seib PM, Stroope BI, Frazier EA, Schmitz ML, Drummond-Webb JJ, Morrow WR (2007) Noninvasive cerebral oximeter as a surrogate for mixed venous saturation in children. Pediatr Cardiol 28:34-41
5. Bronicki RA (2011) Venous oximetry and the assessment of oxygen transport balance. Pediatr Crit Care Med 12:S21-S26
6. Butts RJ, Scheurer MA, Atz AM, Zyblewski SC, Hulsey TC, Bradley SM, Graham EM (2012) Comparison of maximum vasoactive inotropic score and low cardiac output syndrome as markers of early postoperative outcomes after neonatal cardiac surgery. Pediatr Cardiol 33:633-638
7. Chakravarti SB, Mittnacht AJ, Katz JC, Nguyen K, Joashi U, Srivastava S (2009) Multisite near-infrared spectroscopy predicts elevated blood lactate level in children after cardiac surgery. J Cardiothorac Vasc Anesth 23:663-667
8. Crowley R, Sanchez E, Ho JK, Lee KJ, Schwarzenberger J, Marijic J, Sopher M, Mahajan A (2011) Prolonged central venous desaturation measured by continuous oximetry is associated with adverse outcomes in pediatric cardiac surgery. Anesthesiology 115:1033-1043
9. Dantzker DR (1993) The gastrointestinal tract: the canary of the body? JAMA 270:1247-1248
10. Dhillon S, Yu X, Zhang G, Cai S, Li J (2012) The relationship between plasma concentrations of ionized calcium and magnesium with cardiac energetics and systemic oxygen transport in neonates after the Norwood procedure. J Thorac Cardiovasc Surg 144:474-479
11. Gaies MG, Gurney JG, Yen AH, Napoli ML, Gajarski RJ, Ohye RG, Charpie JR, Hirsch JC (2010) Vasoactive-inotropic score as a predictor of morbidity and mortality in infants after cardiopulmonary bypass. Pediatr Crit Care Med 11:234-238
12. Ghanayem NS, Wernovsky G, Hoffman GM (2011) Near-infrared spectroscopy as a hemodynamic monitor in critical illness. Pediatr Crit Care Med 12:S27-S32
13. Haydin S, Onan B, Onan IS, Ozturk E, Iyigun M, Yeniterzi M, Bakir I (2013) Cerebral perfusion during cardiopulmonary bypass in children: correlations between near-infrared spectroscopy, temperature, lactate, pump flow, and blood pressure. Artif Organs 37:87-91
14. Hiramatsu T, Imai Y, Takanashi Y, Hoshino S, Yashima M, Tanaka SA, Chang D, Nakazawa M (1997) Time course of endothelin-1 and nitrate anion levels after cardiopulmonary bypass in congenital heart defects. Ann Thorac Surg 63:648-652 (Pubitemid 27128673)
15. Hoffman GM, Stuth EA, Jaquiss RD, Vanderwal PL, Staudt SR, Troshynski TJ, Ghanayem NS, Tweddell JS (2004) Changes in cerebral and somatic oxygenation during stage 1 palliation of hypoplastic left heart syndrome using continuous regional cerebral perfusion. J Thorac Cardiovasc Surg 127:223-233 (Pubitemid 38160487)
16. Hoskote A, Li J, Hickey C, Erickson S, Van Arsdell G, Stephens D, Holtby H, Bohn D, Adatia I (2004) The effects of carbon dioxide on oxygenation and systemic, cerebral, and pulmonary vascular hemodynamics after the bidirectional superior cavopulmonary anastomosis. J Am Coll Cardiol 44:1501-1509 (Pubitemid 39303956)
17. Jenkins KJ, Gauvreau K, Newburger JW, Spray TL, Moller JH, Iezzoni LI (2002) Consensus-based method for risk adjustment for surgery for congenital heart disease. J Thorac Cardiovasc Surg 123:110-118
18. Jones TJ, Elliott MJ (2006) Paediatric CPB: bypass in a high risk group. Perfusion 21:229-233 (Pubitemid 44275555)
19. Kaufman J, Almodovar MC, Zuk J, Friesen RH (2008) Correlation of abdominal-site near-infrared spectroscopy with gastric tonometry in infants following surgery for congenital heart disease. Pediatr Crit Care Med 9:62-68
20. Li J (2012) Systemic oxygen transport derived by using continuous measured oxygen consumption after the Norwood procedure: an interim review. Interact Cardiovasc Thorac Surg 15:93-101
21. Li J, Schulze-Neick I, Lincoln C, Shore D, Scallan M, Bush A, Redington AN, Penny DJ (2000) Oxygen consumption after cardiopulmonary bypass surgery in children: determinants and implications. J Thorac Cardiovasc Surg 119:525-533 (Pubitemid 30146532)
22. Li J, Van Arsdell GS, Zhang G, Cai S, Humpl T, Caldarone CA, Holtby H, Redington AN (2006) 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 92:1678-1685 (Pubitemid 44629186)
23. Mahajan A, Shabanie A, Turner J, Sopher MJ, Marijic J (2003) Pulse contour analysis for cardiac output monitoring in cardiac surgery for congenital heart disease. Anesth Analg 97:1283-1288 (Pubitemid 37310120)
24. Mott AR, Alomrani A, Tortoriello TA, Perles Z, East DL, Stayer SA (2006) Changes in cerebral saturation profile in response to mechanical ventilation alterations in infants with bidirectional superior cavopulmonary connection. Pediatr Crit Care Med 7:346-350 (Pubitemid 44048278)
25. Murkin JM, Arango M (2009) Near-infrared spectroscopy as an index of brain and tissue oxygenation. Br J Anaesth 103(Suppl 1):i3-i13
26. Nollert G, Mohnle P, Tassani-Prell P, Reichart B (1995) Determinants of cerebral oxygenation during cardiac surgery. Circulation 92:II327-II333
27. Polito A, Patorno E, Costello JM, Salvin JW, Emani SM, Rajagopal S, Laussen PC, Thiagarajan RR (2011) Perioperative factors associated with prolonged mechanical ventilation after complex congenital heart surgery. Pediatr Crit Care Med 12:e122-e126
28. Ranucci M, Isgro G, De la Torre T, Romitti F, Conti D, Carlucci C (2008) Near-infrared spectroscopy correlates with continuous superior vena cava oxygen saturation in pediatric cardiac surgery patients. Paediatr Anaesth 18:1163-1169
29. Skowno JJ, Broadhead M (2008) Cardiac output measurement in pediatric anesthesia. Paediatr Anaesth 18:1019-1028
30. Weiss M, Dullenkopf A, Kolarova A, Schulz G, Frey B, Baenziger O (2005) Near-infrared spectroscopic cerebral oxygenation reading in neonates and infants is associated with central venous oxygen saturation. Paediatr Anaesth 15:102-109 (Pubitemid 40269301)
31. Wernovsky G, Wypij D, Jonas RA, Mayer JE Jr, Hanley FL, Hickey PR, Walsh AZ, Chang AC, Castaneda AR, Newburger JW et al (1995) Postoperative course and hemodynamic profile after the arterial switch operation in neonates and infants: a comparison of low-flow cardiopulmonary bypass and circulatory arrest. Circulation 92:2226-2235
32. Zhang G, Cai S, Li J (2012) Hyperglycaemia is negatively associated with systemic and cerebral oxygen transport in neonates after the Norwood procedure. Cardiol Young 22:49-56