| Autor: |
Papadopoulos, G., Tatsis, Vasileios, Papathanakos, G., Korre, M., Gouva, C., Katopodis, K., Tzimas, P., Glantzounis, G., Mitsis, M. |
| Zdroj: |
Hellenic Journal of Surgery; Sep2013, Vol. 85 Issue 5, p328-332, 5p |
| Abstrakt: |
Background: Clinical studies suggest that cerebral oxygenation is low in patients on dialysis. Report of two cases: The authors describe the cases of two cardiovascular dialysis patients with chronic kidney disease who underwent coronary artery revascularization and intravascular repair of an abdominal aortic aneurysm. These patients had baseline values of cerebral oximetry below normal (within the range of 36-42%) as estimated by near-infrared spectroscopy (NIRS). This was accompanied by cognitive dysfunction according to the Mini Mental State Examination Score. Results: Cerebral oximetry values were stabilized during surgery after administration of crystalloid fluids and vasoconstrictive drugs and they ameliorated significantly after administration of one unit of blood. Conclution: These observations underline the importance of the evaluation of cerebral tissue oxygenation by noninvasive cerebral NIRS in chronic kidney disease, both intraoperatively and generally. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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