Document Detail


Continuous Surveillance of Lower Limb Perfusion During Aortic Surgery With Near-Infrared Spectroscopy: A Pilot Study.
MedLine Citation:
PMID:  21646238     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background: Near-infrared spectroscopy (NIRS) is a noninvasive technique that allows continuous monitoring of the regional hemoglobin oxygen saturation (rSO(2)) index. We evaluated its application to survey perioperative lower limb perfusion. Methods: A total of 10 patients (7 men, aged 71) were monitored during abdominal surgery for aortic aneurysms. The rSO(2) index was measured at the M gastrocnemius (optode 1) and at the dorsum of the foot (optode 2). Results: Mean baseline rSO(2) values for optodes 1 and 2 were 67 and 66, respectively. After clamping the aorta or iliacofemoral arteries, rSO(2) dropped to 32 for optode 1 (P < .0001) and to 27 for optode 2 (P < .0001). After declamping, rSO(2) increased to 74 for optode 1 (P = .0012 vs baseline) and also to 74 for optode 2 (P = .0018 vs baseline). Conclusion: Near-infrared spectroscopy is an easily applicable, noninvasive tool for continuous surveillance of lower extremity perfusion during aortic reconstruction.
Authors:
R P E Boezeman; J C Kelder; F G J Waanders; J P P M de Vries
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-6-5
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  -     ISSN:  1938-9116     ISO Abbreviation:  -     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-6-7     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Vascular Surgery, St. Antonius Hospital, Nieuwegein, Netherlands.
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