Monitoring Regional Oxygen Saturation - Casecag.com

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Continuous monitoring of cerebral oxygen saturation in elderlypatients undergoing major abdominal surgery minimizes brainexposure to potential hypoxia.Casati A, Fanelli G, Pietropaoli P, et al.Study Design:• Multicenter, prospective, blinded,randomized and controlled trial of 122elderly, high risk general surgery (majorabdominal) patients– Subjects were expected >2 hour operationand were >65 YOAHypothesis:• rSO 2 monitoring with active interventionduring cerebral desaturations in elderlypatients undergoing major abdominalsurgery will reduce the potential exposureof the brain to inadequate oxygen supplyConclusion:• Cerebral desaturations were common(~20% of patients) during major abdominalsurgery in the elderly and reacting to theseevents prevented exposure of the brain topotential hypoxia. Effective treatment ofthese cerebral desaturations resulted indecreased PACU and Hospital LOS, lesscognitive decline (as assessed by MMSEscores)Anesth Analg. 2005;101(3):740-747
Incidence of Cerebral DesaturationCasati A, et al.Goal for intervention group was to maintain INVOS rSO 2 valuesabove 75% of subject’s established room air baseline. The numberof subjects experiencing cerebral desaturation was similar betweenthe control and intervention groups.Control Groupn = 15 (23%) subjectsWith rSO 2 DesaturationStudy Groupn = 11 (20%) subjectsWith rSO 2 Desaturationp = 0.82Casati A, Fanelli G, Piertropaoli P, et al. Continuous Monitoring of Cerebral Oxygen Saturation in Elderly Patients UndergoingMajor Abdominal Surgery Minimizes Brain Exposure to Potential Hypoxia. Anesth Analg.. 2005; Sep;101(3):740-7
Page 2 and 3: Faculty DisclosureUnless cited, the
Page 4: Disclosure StatementThe speaker rec
Page 7 and 8: OverviewPostoperative morbidity and
Page 9 and 10: Projected US Population Growth by A
Page 11 and 12: Postoperative Delirium• Delirium
Page 13 and 14: NIRS Measures Hemoglobin in Microci
Page 15 and 16: NIRS Readings“Banana arc”Arc se
Page 17 and 18: Available devicesThere are currentl
Page 19 and 20: NIRS rSO 2 Validation Studies
Page 21 and 22: Validation: rSO 2 Assesses Cortical
Page 23 and 24: Relevant Comparative Variables:SaO
Page 25 and 26: Validation: rSO 2 Correlates with S
Page 27 and 28: ValidationStroke 2010;41:1951-6Anes
Page 29: Cerebral Oximetry Clinical Studies
Page 33 and 34: Correlation of rSO 2 Desaturation w
Page 35 and 36: Monitoring brain oxygen saturation
Page 37 and 38: Efficacy of Desaturation Interventi
Page 39 and 40: Cerebral oxygen desaturation predic
Page 41 and 42: ConclusionsSlater J, et al.• Seve
Page 43 and 44: SO 2 and Carotid Surgery• Several
Page 45 and 46: SO 2 and Neurocognitive Dysfunction
Page 47 and 48: SO 2 and Neurocognitive Dysfunction
Page 49 and 50: Preoperative Cerebral Oxygen Satura
Page 51 and 52: ScO 2min-ox and MorbidityHeringlake
Page 53 and 54: ScO 2min-ox and 30 Day MortalityHer
Page 55 and 56: ScO 2min-ox and Risk Stratification
Page 57 and 58: INVOS rSO 2 Monitoring Effectivenes
Page 59 and 60: Targets and ThresholdsEdmonds HL Jr
Page 61 and 62: Targets and ThresholdsEdmonds HL Jr
Page 63 and 64: Desaturation IncidenceCerebral Desa
Page 65 and 66: Clinical Interventions
Page 67 and 68: Monitoring Algorithms HelpMitigate
Page 69 and 70: Clinical Application: NIRS Cerebral
Page 71 and 72: ClickHerewww.casecag.com

Monitoring Regional Oxygen Saturation - Casecag.com

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