Let us save the brain with cerebral oximeter: Two case reports

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dc.contributor.authorŞeker, İlknur Suidiye
dc.contributor.authorÖzlü, Onur
dc.contributor.authorÖzkan, Aybars
dc.contributor.authorUzun, Hakan
dc.contributor.authorEsbah, Ali Ümit
dc.contributor.authorÇetin, Pelin
dc.date.accessioned2020-04-30T13:32:43Z
dc.date.available2020-04-30T13:32:43Z
dc.date.issued2017
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionPubMed ID: 30688282en_US
dc.description.abstractIn the neonates, tracheal atresia and tracheoesophageal fistula (TEF) surgery may result in hemodynamic instabilization, leading to cerebral perfusion insufficiency due to the retraction of the pulmonary vessels and truncus brachiocephalicus. We represented one male and one female neonates which were performed thoracoscopic primary repair of TEF through right thoracotomy at the 3th and 4th postpartum day. Anesthesia was induced using sodium thiopental (5 mg/kg), fentanyl 4 mcg, and rocuronium (0.5 mg/kg) given through intravenous route. Sevoflurane 2% and 50% O2in air were used for the maintenance therapy. During the right lung compression to expose posterior esophagus, no value was observed on the pulse oximeter (PO) probe placed on the right hand, and radial artery was not palpated. At the same time, oxygen saturation was observed as 96%-97% on the left foot probe. As the right cerebral oximeter values (rSO2) were rapidly decreased to 31%, the lung compression was ceased. Right pulse oximeter and right rSO2measurements return to the baseline levels. For the second case - different from the first case -both left and right rSO2was rapidly decreased to 40% levels and return to the baseline levels after was removed the retractors. Right PO and right and left cerebral rSO2values returned to baseline immediately when the retractor compression was ended During the operations involving the great vessels in neonates, cerebral perfusion could be preserved using cerebral oximeter. Cerebral oximeter is more efficient than pulse oximeter for detecting cerebral tissue oxygenation and could be helpful to minimize neuronal damage in the neonates. © 2019 African Journal of Paediatric Surgery | Published by Wolters Kluwer - Medknow.en_US
dc.identifier.doi10.4103/ajps.AJPS_117_16
dc.identifier.endpage78en_US
dc.identifier.issn0189-6725
dc.identifier.issue4en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage74en_US
dc.identifier.urihttps://dx.doi.org/10.4103/ajps.AJPS_117_16
dc.identifier.urihttps://hdl.handle.net/20.500.12684/411
dc.identifier.volume14en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWolters Kluwer Medknow Publicationsen_US
dc.relation.ispartofAfrican Journal of Paediatric Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAnesthesia; esophageal atresia; near-infrared spectroscopy; neonatal surgery; tracheoesophageal fistulaen_US
dc.titleLet us save the brain with cerebral oximeter: Two case reportsen_US
dc.typeArticleen_US

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