Cerebral hypoperfusion during pediatric cardiac surgery detected by combined bispectral index monitoring and transcranial doppler ultrasonography
Abstract Bispectral index monitoring (BIS) measures depth of anesthesia and sedation. The case of a neonatal patient who underwent surgical repair for a double aortic arch is presented. During surgery, BIS decreased to 0, and cerebral blood flow (CBF), as measured by transcranial doppler ultrasonogr...
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Veröffentlicht in: | Journal of clinical anesthesia 2011-09, Vol.23 (6), p.498-501 |
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creator | Toyama, Satoshi, MD Sakai, Hirokazu, MD, PhD Ito, Sukeyuki, MD, PhD Suzuki, Yasuyuki, MD, PhD Kondo, Yoichi, MD |
description | Abstract Bispectral index monitoring (BIS) measures depth of anesthesia and sedation. The case of a neonatal patient who underwent surgical repair for a double aortic arch is presented. During surgery, BIS decreased to 0, and cerebral blood flow (CBF), as measured by transcranial doppler ultrasonography, could not be detected immediately after clamping of the arch. BIS returned to baseline, and CBF was detected only after the aortic arch was unclamped. The arch was then carefully reclamped during close BIS and CBF monitoring. |
doi_str_mv | 10.1016/j.jclinane.2010.09.011 |
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The case of a neonatal patient who underwent surgical repair for a double aortic arch is presented. During surgery, BIS decreased to 0, and cerebral blood flow (CBF), as measured by transcranial doppler ultrasonography, could not be detected immediately after clamping of the arch. BIS returned to baseline, and CBF was detected only after the aortic arch was unclamped. The arch was then carefully reclamped during close BIS and CBF monitoring.</description><identifier>ISSN: 0952-8180</identifier><identifier>EISSN: 1873-4529</identifier><identifier>DOI: 10.1016/j.jclinane.2010.09.011</identifier><identifier>PMID: 21911197</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Airway management ; Anesthesia & Perioperative Care ; Anesthesia, neonatal ; Aorta, Thoracic - pathology ; Aortic Arch Syndromes - congenital ; Aortic Arch Syndromes - surgery ; Bispectral index monitoring ; Blood Pressure - physiology ; Cardiac Surgical Procedures - adverse effects ; Cerebrovascular Circulation - physiology ; Cerebrovascular Disorders - diagnostic imaging ; Cerebrovascular Disorders - etiology ; Coarctation of the aorta ; Congenital heart surgery ; Consciousness Monitors ; Constriction ; Coronary vessels ; Double aortic arch ; Heart surgery ; Humans ; Image Processing, Computer-Assisted ; Infant, Newborn ; Intraoperative Complications - diagnostic imaging ; Ostomy ; Pain Medicine ; Spectrum analysis ; Tomography, X-Ray Computed ; Transcranial doppler sonography ; Ultrasonography, Doppler, Transcranial ; Veins & arteries</subject><ispartof>Journal of clinical anesthesia, 2011-09, Vol.23 (6), p.498-501</ispartof><rights>Elsevier Inc.</rights><rights>2011 Elsevier Inc.</rights><rights>Copyright © 2011 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c450t-2f6013e8a029df4d0dc6bbd2e75c2f1f9ffb46c43059b9a8cfec3595d0ce6c653</citedby><cites>FETCH-LOGICAL-c450t-2f6013e8a029df4d0dc6bbd2e75c2f1f9ffb46c43059b9a8cfec3595d0ce6c653</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1033202713?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976,64364,64366,64368,72218</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21911197$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Toyama, Satoshi, MD</creatorcontrib><creatorcontrib>Sakai, Hirokazu, MD, PhD</creatorcontrib><creatorcontrib>Ito, Sukeyuki, MD, PhD</creatorcontrib><creatorcontrib>Suzuki, Yasuyuki, MD, PhD</creatorcontrib><creatorcontrib>Kondo, Yoichi, MD</creatorcontrib><title>Cerebral hypoperfusion during pediatric cardiac surgery detected by combined bispectral index monitoring and transcranial doppler ultrasonography</title><title>Journal of clinical anesthesia</title><addtitle>J Clin Anesth</addtitle><description>Abstract Bispectral index monitoring (BIS) measures depth of anesthesia and sedation. The case of a neonatal patient who underwent surgical repair for a double aortic arch is presented. During surgery, BIS decreased to 0, and cerebral blood flow (CBF), as measured by transcranial doppler ultrasonography, could not be detected immediately after clamping of the arch. BIS returned to baseline, and CBF was detected only after the aortic arch was unclamped. The arch was then carefully reclamped during close BIS and CBF monitoring.</description><subject>Airway management</subject><subject>Anesthesia & Perioperative Care</subject><subject>Anesthesia, neonatal</subject><subject>Aorta, Thoracic - pathology</subject><subject>Aortic Arch Syndromes - congenital</subject><subject>Aortic Arch Syndromes - surgery</subject><subject>Bispectral index monitoring</subject><subject>Blood Pressure - physiology</subject><subject>Cardiac Surgical Procedures - adverse effects</subject><subject>Cerebrovascular Circulation - physiology</subject><subject>Cerebrovascular Disorders - diagnostic imaging</subject><subject>Cerebrovascular Disorders - etiology</subject><subject>Coarctation of the aorta</subject><subject>Congenital heart surgery</subject><subject>Consciousness Monitors</subject><subject>Constriction</subject><subject>Coronary vessels</subject><subject>Double aortic arch</subject><subject>Heart surgery</subject><subject>Humans</subject><subject>Image Processing, Computer-Assisted</subject><subject>Infant, Newborn</subject><subject>Intraoperative Complications - diagnostic imaging</subject><subject>Ostomy</subject><subject>Pain Medicine</subject><subject>Spectrum analysis</subject><subject>Tomography, X-Ray Computed</subject><subject>Transcranial doppler sonography</subject><subject>Ultrasonography, Doppler, Transcranial</subject><subject>Veins & arteries</subject><issn>0952-8180</issn><issn>1873-4529</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFks9u1DAQxi0EotvCK1SWOHDKMnb-bHxBoBUUpEocAImb5djjrUPWDnZSkcfgjXHYFqReuNjWzG8-2_MNIZcMtgxY86rf9npwXnnccshBEFtg7BHZsHZXFlXNxWOyAVHzomUtnJHzlHoAyAn2lJxxJhhjYrchv_YYsYtqoDfLGEaMdk4ueGrm6PyBjmicmqLTVKuYj5qmOR4wLtTghHpCQ7uF6nDsnF_PLo05uso5b_AnPQbvpvBHSnlDc8YnnReXCRPGccBI5yGHU_DhENV4szwjT6waEj6_2y_I1_fvvuw_FNefrj7u314XuqphKrhtgJXYKuDC2MqA0U3XGY67WnPLrLC2qxpdlVCLTqhWW9RlLWoDGhvd1OUFeXnSHWP4MWOa5NEljcOQexrmJNtWVFXTsiaTLx6QfZijz4-TDMqSA9-xMlPNidIxpBTRyjG6o4pLhuTqmezlvWdy9UyCkNmzXHh5Jz93RzR_y-5NysCbE4C5HbcOo0zaodfZm5i7LU1w_7_j9QOJlXJaDd9xwfTvPzJxCfLzOjnr4DAGwOvmW_kbtWrFJA</recordid><startdate>20110901</startdate><enddate>20110901</enddate><creator>Toyama, Satoshi, MD</creator><creator>Sakai, Hirokazu, MD, PhD</creator><creator>Ito, Sukeyuki, MD, PhD</creator><creator>Suzuki, Yasuyuki, MD, PhD</creator><creator>Kondo, Yoichi, MD</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20110901</creationdate><title>Cerebral hypoperfusion during pediatric cardiac surgery detected by combined bispectral index monitoring and transcranial doppler ultrasonography</title><author>Toyama, Satoshi, MD ; Sakai, Hirokazu, MD, PhD ; Ito, Sukeyuki, MD, PhD ; Suzuki, Yasuyuki, MD, PhD ; Kondo, Yoichi, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c450t-2f6013e8a029df4d0dc6bbd2e75c2f1f9ffb46c43059b9a8cfec3595d0ce6c653</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Airway management</topic><topic>Anesthesia & Perioperative Care</topic><topic>Anesthesia, neonatal</topic><topic>Aorta, Thoracic - pathology</topic><topic>Aortic Arch Syndromes - congenital</topic><topic>Aortic Arch Syndromes - surgery</topic><topic>Bispectral index monitoring</topic><topic>Blood Pressure - physiology</topic><topic>Cardiac Surgical Procedures - adverse effects</topic><topic>Cerebrovascular Circulation - physiology</topic><topic>Cerebrovascular Disorders - diagnostic imaging</topic><topic>Cerebrovascular Disorders - etiology</topic><topic>Coarctation of the aorta</topic><topic>Congenital heart surgery</topic><topic>Consciousness Monitors</topic><topic>Constriction</topic><topic>Coronary vessels</topic><topic>Double aortic arch</topic><topic>Heart surgery</topic><topic>Humans</topic><topic>Image Processing, Computer-Assisted</topic><topic>Infant, Newborn</topic><topic>Intraoperative Complications - diagnostic imaging</topic><topic>Ostomy</topic><topic>Pain Medicine</topic><topic>Spectrum analysis</topic><topic>Tomography, X-Ray Computed</topic><topic>Transcranial doppler sonography</topic><topic>Ultrasonography, Doppler, Transcranial</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Toyama, Satoshi, MD</creatorcontrib><creatorcontrib>Sakai, Hirokazu, MD, PhD</creatorcontrib><creatorcontrib>Ito, Sukeyuki, MD, PhD</creatorcontrib><creatorcontrib>Suzuki, Yasuyuki, MD, PhD</creatorcontrib><creatorcontrib>Kondo, Yoichi, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Toyama, Satoshi, MD</au><au>Sakai, Hirokazu, MD, PhD</au><au>Ito, Sukeyuki, MD, PhD</au><au>Suzuki, Yasuyuki, MD, PhD</au><au>Kondo, Yoichi, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cerebral hypoperfusion during pediatric cardiac surgery detected by combined bispectral index monitoring and transcranial doppler ultrasonography</atitle><jtitle>Journal of clinical anesthesia</jtitle><addtitle>J Clin Anesth</addtitle><date>2011-09-01</date><risdate>2011</risdate><volume>23</volume><issue>6</issue><spage>498</spage><epage>501</epage><pages>498-501</pages><issn>0952-8180</issn><eissn>1873-4529</eissn><abstract>Abstract Bispectral index monitoring (BIS) measures depth of anesthesia and sedation. The case of a neonatal patient who underwent surgical repair for a double aortic arch is presented. During surgery, BIS decreased to 0, and cerebral blood flow (CBF), as measured by transcranial doppler ultrasonography, could not be detected immediately after clamping of the arch. BIS returned to baseline, and CBF was detected only after the aortic arch was unclamped. The arch was then carefully reclamped during close BIS and CBF monitoring.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>21911197</pmid><doi>10.1016/j.jclinane.2010.09.011</doi><tpages>4</tpages></addata></record> |
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subjects | Airway management Anesthesia & Perioperative Care Anesthesia, neonatal Aorta, Thoracic - pathology Aortic Arch Syndromes - congenital Aortic Arch Syndromes - surgery Bispectral index monitoring Blood Pressure - physiology Cardiac Surgical Procedures - adverse effects Cerebrovascular Circulation - physiology Cerebrovascular Disorders - diagnostic imaging Cerebrovascular Disorders - etiology Coarctation of the aorta Congenital heart surgery Consciousness Monitors Constriction Coronary vessels Double aortic arch Heart surgery Humans Image Processing, Computer-Assisted Infant, Newborn Intraoperative Complications - diagnostic imaging Ostomy Pain Medicine Spectrum analysis Tomography, X-Ray Computed Transcranial doppler sonography Ultrasonography, Doppler, Transcranial Veins & arteries |
title | Cerebral hypoperfusion during pediatric cardiac surgery detected by combined bispectral index monitoring and transcranial doppler ultrasonography |
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