Monitoring of Carotid Endarterectomy
| Autor: | Said Musallam Al Maashani, Rajinder Singh Rawat |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_treatment MEDLINE Carotid endarterectomy lcsh:RD78.3-87.3 Arteriovenous Shunt Surgical Monitoring Intraoperative medicine Humans Oximetry Letters to the Editor Aged Retrospective Studies Endarterectomy Carotid Spectroscopy Near-Infrared business.industry General Medicine Surgery Anesthesiology and Pain Medicine lcsh:Anesthesiology lcsh:RC666-701 Cerebrovascular Circulation Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Annals of Cardiac Anaesthesia Annals of Cardiac Anaesthesia, Vol 23, Iss 4, Pp 544-544 (2020) |
| ISSN: | 0974-5181 0971-9784 |
| Popis: | During carotid arterial endarterectomy (CAE) surgery, an intraluminal shunt is used to prevent hypoperfusion, which can be caused by a cross-clamping cerebral ischemia. However, routine shunt use is not recommended. Various cerebral monitoring techniques are used to determine the need for shunt placement. In this study, retrospective analysis of data on the efficacy of cerebral oximetry in the decision of shunt use during elective CAE surveys was planned.We collected data on 68 patients operated under general anesthesia between December 2016 and December 2017. Patients were evaluated for near infrared spectrometry (NIRS) and stump pressure values and whether shunt was placed or not.Eight (11.7%) patients were shunting. NIRS value after cross-clamping was lower in patients with shunt. Stump pressure values were below 40 mmHg.Cerebral monitoring in elective CAE operations has great importance in determining the necessity of using intraluminal shunt to reduce the complications that may occur. |
| Databáze: | OpenAIRE |
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