Document Detail


A proposed algorithm for the intraoperative use of cerebral near-infrared spectroscopy.
MedLine Citation:
PMID:  18270192     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Near-infrared spectroscopy (NIRS) is a technique that can be used as a noninvasive and continuous monitor of the balance between cerebral oxygen delivery and consumption. The authors develop and propose an algorithm for the use of NIRS based on optimizing factors that can affect cerebral oxygen supply/demand. These factors are the position of the vascular cannula, perfusion pressure, arterial oxygen content, partial pressure of carbon dioxide, haemoglobin, cardiac output, and the cerebral metabolic rate of oxygen. Dissemination of a useful treatment algorithm is the primary purpose of this article. Further multicenter studies are necessary to confirm the benefits and cost-effectiveness of this promising monitoring modality.
Authors:
André Denault; Alain Deschamps; John M Murkin
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Seminars in cardiothoracic and vascular anesthesia     Volume:  11     ISSN:  1089-2532     ISO Abbreviation:  Semin Cardiothorac Vasc Anesth     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2008-02-13     Completed Date:  2008-06-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9807630     Medline TA:  Semin Cardiothorac Vasc Anesth     Country:  United States    
Other Details:
Languages:  eng     Pagination:  274-81     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, Montreal Heart Institute, Montreal, Quebec, Canada. denault@videotron.ca
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MeSH Terms
Descriptor/Qualifier:
Algorithms*
Brain / metabolism*
Carbon Dioxide / metabolism
Cardiac Output
Hemoglobins / metabolism
Humans
Monitoring, Intraoperative / methods
Oxygen / administration & dosage
Oxygen Consumption
Partial Pressure
Spectroscopy, Near-Infrared / methods*
Chemical
Reg. No./Substance:
0/Hemoglobins; 124-38-9/Carbon Dioxide; 7782-44-7/Oxygen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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