7/24/2019 01 Impact of Intraoperative Events on Cerebral Tissue Oximetry in Patients Undergoing Cardiopulmonary Bypass

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Impact of Intraoperative Events on Cerebral Tissue

Oximetry in Patients Undergoing Cardiopulmonary Bypass

Ervin E. everdija, EKP, *Nousjka PA Vranken, BASC * StevenTeerenstra, PhD, uri!."anush#hak, !D, PhD, *$Patri#k %. %eer&ind, CCP, PhD *

'a dis(inu#i)n de a satura#i)n #ere+ra durante a #iru-a #ard-a#a serea#iona #on a evou#i)n ostoeratoria adversa. Se investi) a in/uen#ia deeventos intraoeratorios en a satura#i)n de tejido #ere+ra en a#ientesso(etidos a #iru-a #ard-a#a #on #ir#ua#i)n e0tra#or)rea 1CEC2.

E estudio in#u$) 34 a#ientes adutos 156 varones $ 78 (ujeres2 9ue :ueronso(etidos a #iru-a #ardia#a ee#tiva utii;ando CEC us a indu##i)n de aanestesia enera dio uar a un :uerte au(ento en SCT> #ere+ra, dis(inu#i)nsini?#ativa en a (edia SCT> 4se rodujo #on e ini#io de a CPB.

'a #oo#a#i)n de retra#tor esterna es otro :a#tor 9ue in/u$e en a satura#i)n#ere+ra, (edida or ese#tros#oia de in:rarrojo #er#ano.

E in;a(iento a)rti#o (ostr) a a:e#tar a a satura#i)n #ere+ra dio uar a aretirada reentina e0#esiva de vou(en sanu-neo de a#iente a a ( 4

En #on#usi)n a satura#i)n de tejido #ere+ra se vio a:e#tado or a indu##i)nanestsi#a, a #oo#a#i)n de retra#tor esterna, $ a ini#ia#i)n, as- #o(o ater(ina#i)n de CPB. Coo#a#i)n $ a ei(ina#i)n de in;a(iento a)rti#o

#ondujeron a #a(+ios en a satura#i)n de tejido #ere+ra.

http://www.ncbi.nlm.nih.gov/pubmed/?term=%26%23x00160%3Beverdija%20EE%5Bauth%5Dhttp://www.ncbi.nlm.nih.gov/pubmed/?term=%26%23x00160%3Beverdija%20EE%5Bauth%5Dhttp://www.ncbi.nlm.nih.gov/pubmed/?term=Vranken%20NP%5Bauth%5Dhttp://www.ncbi.nlm.nih.gov/pubmed/?term=Vranken%20NP%5Bauth%5Dhttp://www.ncbi.nlm.nih.gov/pubmed/?term=Teerenstra%20S%5Bauth%5Dhttp://www.ncbi.nlm.nih.gov/pubmed/?term=Ganushchak%20YM%5Bauth%5Dhttp://www.ncbi.nlm.nih.gov/pubmed/?term=Ganushchak%20YM%5Bauth%5Dhttp://www.ncbi.nlm.nih.gov/pubmed/?term=Ganushchak%20YM%5Bauth%5Dhttp://www.ncbi.nlm.nih.gov/pubmed/?term=Ganushchak%20YM%5Bauth%5Dhttp://www.ncbi.nlm.nih.gov/pubmed/?term=Ganushchak%20YM%5Bauth%5Dhttp://www.ncbi.nlm.nih.gov/pubmed/?term=Ganushchak%20YM%5Bauth%5Dhttp://www.ncbi.nlm.nih.gov/pubmed/?term=Weerwind%20PW%5Bauth%5Dhttp://www.ncbi.nlm.nih.gov/pubmed/?term=Weerwind%20PW%5Bauth%5Dhttp://www.ncbi.nlm.nih.gov/pubmed/?term=Vranken%20NP%5Bauth%5Dhttp://www.ncbi.nlm.nih.gov/pubmed/?term=Teerenstra%20S%5Bauth%5Dhttp://www.ncbi.nlm.nih.gov/pubmed/?term=Ganushchak%20YM%5Bauth%5Dhttp://www.ncbi.nlm.nih.gov/pubmed/?term=Ganushchak%20YM%5Bauth%5Dhttp://www.ncbi.nlm.nih.gov/pubmed/?term=Ganushchak%20YM%5Bauth%5Dhttp://www.ncbi.nlm.nih.gov/pubmed/?term=Weerwind%20PW%5Bauth%5Dhttp://www.ncbi.nlm.nih.gov/pubmed/?term=%26%23x00160%3Beverdija%20EE%5Bauth%5D