Intraoperative Cerebral Autoregulation Monitoring using Cerebral Oximetry index for Early Detection of Neurologic Complications in an Infant Undergoing Repair of Interrupted Aortic Arch.

Despite advancements in surgical and anesthesia care, postoperative neurologic complications are still frequent in infants presenting with critical congenital heart defects and several risk factors have been associated with poor neurologic outcome in a multifactorial cumulative model.1 Near infrared spectroscopy (NIRS) is widely used to monitor perioperative brain oxygenation in cardiac surgery, despite further investigation are needed to define threshold values for triggering interventions2. NIRS-based cerebral autoregulation continuous assessment can be provided by a dedicated monitoring software that calculates the Cerebral Oximetry index (COx) as the moving linear correlation between MAP and cerebral regional saturation of oxygen (rSO2).
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Case Report Source Type: research