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首页> 外文期刊>Annals of Pediatric Cardiology >Postoperative cerebral oximetry monitoring helps in early detection of diminished flow in Blalock–Taussig shunt
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Postoperative cerebral oximetry monitoring helps in early detection of diminished flow in Blalock–Taussig shunt

机译:术后脑血氧饱和度监测有助于早期发现Blalock–Taussig分流器血流减少

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摘要

Cerebral oximeter is a noninvasive device which provides continuous monitoring of the regional cerebral saturation using near-infrared spectroscopy (NIRS). After gaining popularity as an intraoperative monitoring tool, use of NIRS monitoring has also expanded to postoperative period of congenital heart diseases now. Shunt underflow is a known complication after Blalock–Taussig (BT) shunt, which is conventionally detected by a drop in oxygen saturation and metabolic acidosis. We report a case where cerebral regional saturation monitoring by NIRS helped in early detection of low pulmonary flow state during postoperative period of neonatal BT shunt. We observed that the drop in regional cerebral oxygen saturation preceded fall in peripheral oxygen saturation during shunt underflow.
机译:脑血氧饱和度计是一种无创设备,可使用近红外光谱(NIRS)连续监测区域性大脑饱和度。在作为术中监测工具获得欢迎之后,NIRS监测的应用也已扩展到先天性心脏病的术后时期。分流下溢是Blalock–Taussig(BT)分流后的一种已知并发症,通常通过氧饱和度下降和代谢性酸中毒来检测。我们报告了一个案例,其中通过NIRS进行脑区域饱和度监测有助于在新生儿BT分流术后期间早期发现低肺血流状态。我们观察到,在分流底流期间,局部脑血氧饱和度的下降先于周围血氧饱和度的下降。

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