ID 106368
Author
Kakuta, Nami Department of Anesthesiology, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Mita, Naoji Department of Anesthesiology, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Kambe, Noriko Department of Anesthesiology, Tokushima University Hospital KAKEN Search Researchers
Kasai, Asuka Department of Anesthesiology, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Wakamatsu, Narutomo Department of Anesthesiology, Tokushima University Hospital KAKEN Search Researchers
Katayama, Toshiko Department of Anesthesiology, Tokushima University Hospital
Tada, Fumihiko Department of Anesthesia, Shikoku Medical Center for Children and Adults
Kitaichi, Takashi Department of Cardiovascular Surgery, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Kitagawa, Tetsuya Department of Cardiovascular Surgery, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Kitahata, Hiroshi Department of Dental Anesthesiology, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Keywords
bidirectional Glenn shunt
circulatory monitoring
central venous oxygen saturation
PediaSat oximetry catheter
near-infrared spectroscopy
Content Type
Journal Article
Description
A PediaSat(TM) oximetry catheter (PediaSat : Edwards Lifesciences Co., Ltd., Irvine, CA, U.S.A.), which facilitates continuous measurement of central venous oxygen saturation (ScvO2), may be useful for surgery for pediatric congenital heart disease. We used PediaSat during a bidirectional Glenn shunt. The patient was a 13-month-old boy. Under a diagnosis of left single ventricle (pulmonary atresia, right ventricular hypoplasia, atrial septal defect) and residual left aortic arch/left superior vena cava, a modified right Blalock- Taussig shunt was performed. Cyanosis deteriorated, so a bidirectional Glenn shunt was scheduled. After anesthesia induction, a 4.5 Fr double-lumen (8 cm) PediaSat was inserted through the right internal jugular vein for continuous ScvO2 monitoring. Furthermore, the probe of a near-infrared, mixed blood oxygen saturation-measuring monitor was attached to the forehead for continuous monitoring of the regional brain tissue mixed blood oxygen saturation (rSO2) (INVOS(TM) 5100C, Covidien ; Boulder, CO, U.S.A.). Blockage of the right pulmonary artery and right superior vena cava decreased the oxygen saturation, ScvO2, and rSO2, but increased the central venous pressure. Although changes in ScvO2 were parallel to those in rSO2, the former showed more marked changes. A combination of ScvO2 and rSO2 for monitoring during Glenn shunt may be safer.
Journal Title
The journal of medical investigation : JMI
ISSN
13431420
NCID
AA11166929
Volume
60
Issue
3-4
Start Page
272
End Page
275
Sort Key
272
Published Date
2013-08
EDB ID
FullText File
language
eng
TextVersion
Publisher
departments
Medical Sciences
University Hospital
Oral Sciences