The Use of Cerebral Oximetry as a Monitor of the Adequacy of Cerebral Perfusion in a Patient Undergoing Shoulder Surgery in the Beach Chair Position
| Autor: | Toni M. Torrillo, Menachem M. Weiner, Gregory W. Fischer, Meg A. Rosenblatt |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
Shoulder surgery medicine.medical_treatment Posture Blood Pressure Cerebral oxygen saturation Sensitivity and Specificity Brain Ischemia Hypotension Orthostatic Postoperative Complications Predictive Value of Tests Monitoring Intraoperative medicine Homeostasis Humans Rotator cuff Oximetry Cerebral perfusion pressure Intraoperative Complications Cerebral oximetry business.industry Cerebral Arteries Middle Aged Surgery Anesthesiology and Pain Medicine Blood pressure medicine.anatomical_structure Cerebrovascular Circulation Predictive value of tests Anesthesia Orthopedic surgery Female business |
| Zdroj: | Pain Practice. 9:304-307 |
| ISSN: | 1533-2500 1530-7085 |
| DOI: | 10.1111/j.1533-2500.2009.00282.x |
| Popis: | Four cases of ischemic injury have been reported in patients undergoing orthopedic surgery in the upright position. We describe the use of cerebral oximetry as a monitor of the adequacy of cerebral perfusion in a 63-year-old woman who underwent arthroscopic rotator cuff surgery in a beach chair under general anesthesia. During positioning, a decrease in blood pressure was accompanied by a decrease in cerebral oxygen saturation (S(ct)O(2)) and was treated with phenylephrine. When spontaneous ventilation resumed, an increase in end-tidal carbon dioxide was accompanied by an increase in S(ct)O(2). Cerebral oximetry may prove useful as a guide monitor and manage nonsupine patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|