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
Hauptverfasser: Toyama, Satoshi, MD, Sakai, Hirokazu, MD, PhD, Ito, Sukeyuki, MD, PhD, Suzuki, Yasuyuki, MD, PhD, Kondo, Yoichi, MD
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container_end_page 501
container_issue 6
container_start_page 498
container_title Journal of clinical anesthesia
container_volume 23
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 &amp; 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 &amp; 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. 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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. 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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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