ID 106368
著者
角田, 奈美 Department of Anesthesiology, Tokushima University Hospital 徳島大学 教育研究者総覧 KAKEN研究者をさがす
川人, 伸次 Department of Anesthesiology, Tokushima University Hospital 徳島大学 教育研究者総覧 KAKEN研究者をさがす
箕田, 直治 Department of Anesthesiology, Tokushima University Hospital 徳島大学 教育研究者総覧 KAKEN研究者をさがす
カンベ, ノリコ Department of Anesthesiology, Tokushima University Hospital KAKEN研究者をさがす
笠井, 飛鳥 Department of Anesthesiology, Tokushima University Hospital 徳島大学 教育研究者総覧 KAKEN研究者をさがす
ワカマツ, ナルトモ Department of Anesthesiology, Tokushima University Hospital KAKEN研究者をさがす
カタヤマ, トシコ Department of Anesthesiology, Tokushima University Hospital
曽我, 朋宏 Department of Anesthesiology, Tokushima University Hospital 徳島大学 教育研究者総覧 KAKEN研究者をさがす
タダ, フミヒコ Department of Anesthesia, Shikoku Medical Center for Children and Adults
北市, 隆 Department of Cardiovascular Surgery, Tokushima University Hospital 徳島大学 教育研究者総覧 KAKEN研究者をさがす
北川, 哲也 Department of Cardiovascular Surgery, Tokushima University Hospital 徳島大学 教育研究者総覧 KAKEN研究者をさがす
北畑, 洋 Department of Dental Anesthesiology, Tokushima University Hospital 徳島大学 教育研究者総覧 KAKEN研究者をさがす
キーワード
bidirectional Glenn shunt
circulatory monitoring
central venous oxygen saturation
PediaSat oximetry catheter
near-infrared spectroscopy
資料タイプ
学術雑誌論文
抄録
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.
掲載誌名
The journal of medical investigation : JMI
ISSN
13431420
cat書誌ID
AA11166929
60
3-4
開始ページ
272
終了ページ
275
並び順
272
発行日
2013-08
EDB ID
フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
医学系
病院
歯学系