Regional oxygen saturation change rate for detection of leg ischemia in minimally invasive cardiac surgery
| Autor: | Naoya Yamauchi, Yasuhito Okuzono, Yuichi Uchigasaki, Fumiaki Shikata, Yoshitsugu Nakamura |
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| Rok vydání: | 2020 |
| Předmět: |
Advanced and Specialized Nursing
Leg medicine.medical_specialty business.industry General Medicine Limb ischemia Cohort Studies Oxygen Regional oxygen saturation Ischemia Internal medicine medicine Cardiology Minimally invasive cardiac surgery Humans Radiology Nuclear Medicine and imaging Cardiac Surgical Procedures Cardiology and Cardiovascular Medicine business Safety Research Perfusion Oxygen saturation (medicine) |
| Zdroj: | Perfusion. 36:382-387 |
| ISSN: | 1477-111X 0267-6591 |
| Popis: | Introduction: The criteria for placement of distal perfusion cannulas vary among reports. This cohort study aimed to establish a reproducible method to monitor critical leg ischemia during minimally invasive cardiac surgery. Methods: We included 121 patients who underwent minimally invasive cardiac surgery via right thoracotomy with right femoral arterial cannulation from 2015 to 2018. The change rate of regional oxygen saturation (ΔrSO2) was calculated as follows: rSO2 (baseline) − rSO2 (actual number)/rSO2 (baseline). Patients were divided into Group N (ΔrSO2 2 > 40%, 40%): 21/121 (17%). A distal perfusion cannula was placed when ΔrSO2 was >40% over 10 minutes. Results: No patients experienced significant leg ischemia. Significantly longer cardiopulmonary bypass and aortic cross-clamp times were observed in Group H than in Group N (cardiopulmonary bypass time, 129 ± 36 minutes (Group N) vs. 151 ± 34 minutes (Group H), p = 0.01). ΔrSO2 correlated positively with plasma creatine phosphokinase elevation (R = 0.40, p 2. Conclusion: ΔrSO2 measurement by near-infrared spectroscopy can facilitate distal leg perfusion monitoring and assist surgeons in preventing critical leg ischemia during minimally invasive cardiac surgery. |
| Databáze: | OpenAIRE |
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