| Neonatal cerebral oximetry monitoring during ECMO cannulation. | |
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MedLine Citation:
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PMID: 19158806 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Neonates were monitored with a cerebral oximeter before, during, and after cannulation for ECMO to determine the direct effects of ligation of the right internal jugular vein and right carotid artery on cerebral oxygenation. STUDY DESIGN: After obtaining informed consent, we used the FORE-SIGHT Cerebral Oximeter (CAS Medical Systems, Branford, CT, USA) to monitor neonates undergoing surgical preparation for veno-arterial (VA) or veno-venous (VV) extracorporeal membrane oxygenation (ECMO). RESULT: A total of 17 subjects were monitored pre-ECMO for at least 48 h after cannulation. Of the 17 subjects, 12 experienced low cerebral tissue oxygen saturation (SctO(2)) <60% during pre-ECMO surgery, with most exhibiting the lowest SctO(2) values between cannulation to the onset of ECMO. Two subjects received cardiopulmonary resuscitation (CPR) during surgery and experienced very low SctO(2) (5 and 36%). Pulse oximetry was found to be unreliable during CPR because of diminished pulsatile flow. SctO(2) increased above 60% after the onset of ECMO for all subjects and remained stable. CONCLUSION: Neonates are vulnerable to SctO(2) during the pre-ECMO surgical period. |
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Authors:
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J C Fenik; K Rais-Bahrami |
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Publication Detail:
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Type: Comparative Study; Journal Article Date: 2009-01-22 |
Journal Detail:
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Title: Journal of perinatology : official journal of the California Perinatal Association Volume: 29 ISSN: 1476-5543 ISO Abbreviation: J Perinatol Publication Date: 2009 May |
Date Detail:
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Created Date: 2009-04-28 Completed Date: 2009-07-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8501884 Medline TA: J Perinatol Country: United States |
Other Details:
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Languages: eng Pagination: 376-81 Citation Subset: IM |
Affiliation:
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Department of Neonatology, Children's National Medical Center, Washington, DC 20010, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Brain
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blood supply* Catheterization, Central Venous Cerebrovascular Circulation / physiology Extracorporeal Membrane Oxygenation / methods* Female Follow-Up Studies Humans Infant, Newborn Male Monitoring, Physiologic Oximetry / methods* Oxygen Consumption / physiology Probability Respiratory Distress Syndrome, Newborn / diagnosis, mortality, therapy* Risk Assessment Sampling Studies Sensitivity and Specificity Statistics, Nonparametric Survival Rate Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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