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Current Pharmaceutical Design

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ISSN (Print): 1381-6128
ISSN (Online): 1873-4286

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Regional Brain Oxygen Saturation: There is also Life Beyond the Brain

Author(s): Guerrero Orriach J.L.* and Ramirez Fernandez A.

Volume 28, Issue 19, 2022

Published on: 29 April, 2022

Page: [1589 - 1591] Pages: 3

DOI: 10.2174/1381612828666220318120311

Abstract

Some procedures, such as cardiovascular surgery, may compromise brain perfusion and require careful management to preserve the integrity of the central nervous system. In this setting, regional cerebral oxygen saturation [rSO2] emerges as an alternative, minimally invasive, monitoring system. The mechanism by which regional oxygen is measured is based on the refraction and absorption of a signal with a specific wavelength. Diagnostic and therapeutic algorithms for these settings would allow for a more rational use of goal-directed therapies that reduce morbidity and mortality in these patients.

Keywords: Regional oxygen saturation, treatment, drugs, brain, ECMO, central nervous system.

« Previous Next »
[1]
Bang S, Hwang KS, Jeong S, et al. Engineered neural circuits for modeling brain physiology and neuropathology. Acta Biomater 2021; 132: 379-400.
[http://dx.doi.org/10.1016/j.actbio.2021.06.024] [PMID: 34157452]
[2]
Denault A, Deschamps A, Murkin JM. A proposed algorithm for the intraoperative use of cerebral near-infrared spectroscopy. Semin Cardiothorac Vasc Anesth 2007; 11(4): 274-81.
[http://dx.doi.org/10.1177/1089253207311685] [PMID: 18270192]
[3]
Steppan J, Hogue CW Jr. Cerebral and tissue oximetry. Best Pract Res Clin Anaesthesiol 2014; 28(4): 429-39.
[http://dx.doi.org/10.1016/j.bpa.2014.09.002] [PMID: 25480772]
[4]
Yu Y, Zhang K, Zhang L, Zong H, Meng L, Han R. Cerebral near-infrared spectroscopy (NIRS) for perioperative monitoring of brain oxygenation in children and adults. Cochrane Database Syst Rev 2018; 1(1): CD010947.
[http://dx.doi.org/10.1002/14651858.CD010947.pub2] [PMID: 29341066]
[5]
Beck J, Loron G, Masson C, et al. Monitoring cerebral and renal oxygenation status during neonatal digestive surgeries using near infra-red spectroscopy. Front Pediatr 2017; 5: 140.
[http://dx.doi.org/10.3389/fped.2017.00140] [PMID: 28660179]
[6]
Marimón GA, Dockery WK, Sheridan MJ, Agarwal S. Near-infrared spectroscopy cerebral and somatic (renal) oxygen saturation correla-tion to continuous venous oxygen saturation via intravenous oximetry catheter. J Crit Care 2012; 27(3): 314.e13-8.
[http://dx.doi.org/10.1016/j.jcrc.2011.10.002] [PMID: 22172794]
[7]
Marchesi A, Garieri P, Amendola F, Marcelli S, Vaienti L. Intraoperative near-infrared spectroscopy for pedicled perforator flaps: A possible tool for the early detection of vascular issues. Arch Plast Surg 2021; 48(4): 457-61.
[http://dx.doi.org/10.5999/aps.2019.00311] [PMID: 34352960]
[8]
Takasu H, Hashikawa K, Nomura T, et al. A novel method of noninvasive monitoring of free flaps with near-infrared spectroscopy. Eplasty 2017; 17: e37.
[9]
Nielsen HB. Systematic review of near-infrared spectroscopy determined cerebral oxygenation during non-cardiac surgery. Front Physiol 2014; 5: 93.
[http://dx.doi.org/10.3389/fphys.2014.00093] [PMID: 24672486]
[10]
Manetta F, Mullan CW, Catalano MA. Neuroprotective strategies in repair and replacement of the aortic arch. Int J Angiol 2018; 27(2): 98-109.
[http://dx.doi.org/10.1055/s-0038-1649512] [PMID: 29896042]
[11]
Falasa MP, Arnaoutakis GJ, Janelle GM, Beaver TM. Neuromonitoring and neuroprotection advances for aortic arch surgery. JTCVS Tech 2021; 7: 11-9.
[http://dx.doi.org/10.1016/j.xjtc.2020.12.045] [PMID: 34318192]
[12]
Krüger T, Hoffmann I, Blettner M, Borger MA, Schlensak C, Weigang E. Intraoperative neuroprotective drugs without beneficial effects? Results of the German registry for acute aortic dissection type A (GERAADA). Eur J Cardiothorac Surg 2013; 44(5): 939-46.
[http://dx.doi.org/10.1093/ejcts/ezt182] [PMID: 23657546]
[13]
Fletcher-Sandersjöö A, Thelin EP, Bartek J Jr, et al. Incidence, outcome, and predictors of intracranial hemorrhage in adult patients on extracorporeal membrane oxygenation: A systematic and narrative review. Front Neurol 2018; 9: 548.
[http://dx.doi.org/10.3389/fneur.2018.00548] [PMID: 30034364]
[14]
Zhang H, Xu J, Yang X, et al. Narrative review of neurologic complications in adults on ECMO: Prevalence, risks, outcomes, and pre-vention strategies. Front Med (Lausanne) 2021; 8: 713333.
[http://dx.doi.org/10.3389/fmed.2021.713333] [PMID: 34660625]
[15]
Jayaraman AL, Cormican D, Shah P, Ramakrishna H. Cannulation strategies in adult veno-arterial and veno-venous extracorporeal mem-brane oxygenation: Techniques, limitations, and special considerations. Ann Card Anaesth 2017; 20(Suppl.): S11-8.
[http://dx.doi.org/10.4103/0971-9784.197791] [PMID: 28074818]
[16]
Bonicolini E, Martucci G, Simons J, et al. Limb ischemia in peripheral veno-arterial extracorporeal membrane oxygenation: A narrative review of incidence, prevention, monitoring, and treatment. Crit Care 2019; 23(1): 266.
[http://dx.doi.org/10.1186/s13054-019-2541-3]
[17]
Su Y, Liu K, Zheng JL, et al. Hemodynamic monitoring in patients with venoarterial extracorporeal membrane oxygenation. Ann Transl Med 2020; 8(12): 792.
[http://dx.doi.org/10.21037/atm.2020.03.186] [PMID: 32647717]
[18]
Thewissen L, Caicedo A, Lemmers P, Van Bel F, Van Huffel S, Naulaers G. Measuring near-infrared spectroscopy derived cerebral auto-regulation in neonates: From research tool toward bedside multimodal monitoring. Front Pediatr 2018; 6: 117.
[http://dx.doi.org/10.3389/fped.2018.00117] [PMID: 29868521]
[19]
Perez Civantos DV, Munoz Cantero A, Robles Marcos M, et al. Utility of basal regional oximetry saturation for the diagnosis of acute tubular necrosis in the early postoperative period following kidney transplantation. Transplant Proc 2019; 51(2): 328-33.
[http://dx.doi.org/10.1016/j.transproceed.2018.12.011]
[20]
Adams PS, Vargas D, Baust T, et al. Associations of perioperative renal oximetry via near-infrared spectroscopy, urinary biomarkers, and postoperative acute kidney injury in infants after congenital heart surgery: Should creatinine continue to be the gold standard? Pediatr Crit Care Med 2019; 20(1): 27-37.
[http://dx.doi.org/10.1097/PCC.0000000000001767] [PMID: 30395106]

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