Factors associated with a low initial cerebral oxygen saturation value in patients undergoing cardiac surgery
Factors associated with a low initial cerebral oxygen saturation value in patients undergoing cardiac surgery
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DOI：
10.1007/s10047-016-0941-6
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发表时间：
2017-06-01
影响因子：
1.3
通讯作者：
Miyaji, Kagami
中科院分区：
文献类型：
--
作者：
Kobayashi, Kensuke;Kitamura, Tadashi;Miyaji, Kagami
在心脏手术期间，使用近红外光谱设备INVOS 5100 C(美国明尼阿波利斯市，美敦力)进行局部脑血氧饱和度测量，旨在避免围手术期神经损伤，特别是在体外循环期间。然而，遇到极低的初始脑局部血氧饱和度或对干预无反应的低值并不少见。因此，确定与低饱和值相关的因素而不是真正的脑缺氧是很重要的。我们调查了心脏手术中术前局部脑氧饱和度与临床变量的关系。2013年1月至2016年5月，462名患者接受了择期心脏手术。病人的
Regional cerebral oximetry using near-infrared spectroscopy device, an INVOS 5100 C (Medtronic, Minneapolis, MN, USA), during cardiac surgery aims to avoid perioperative neurological impairment, especially during cardiopulmonary bypass. However, it is not uncommon to encounter critically low initial cerebral regional oxygen saturation or a low value unresponsive to intervention. Therefore, it is important to identify factors associated with low saturation value other than true cerebral hypoxia. We investigated the relationship between preoperative regional cerebral oxygen saturation and clinical variables during cardiac surgery. From January 2013 to May 2016, 462 patients underwent elective cardiac surgery. Patient's