Journal ArticleDOI
Near-infrared spectroscopy: exposing the dark (venous) side of the circulation.
John P. Scott,George M. Hoffman +1 more
TLDR
Near‐infrared spectroscopy provides noninvasive continuous access to the venous side of regional circulations that can approximate organ‐specific and global measures to facilitate the detection of circulatory abnormalities and drive goal‐directed interventions to reduce end‐organ ischemic injury.Abstract:
The safety of anesthesia has improved greatly in the past three decades. Standard perioperative monitoring, including pulse oximetry, has practically eliminated unrecognized arterial hypoxia as a cause for perioperative injury. However, most anesthesia-related cardiac arrests in children are now cardiovascular in origin, and standard monitoring is unable to detect many circulatory abnormalities. Near-infrared spectroscopy provides noninvasive continuous access to the venous side of regional circulations that can approximate organ-specific and global measures to facilitate the detection of circulatory abnormalities and drive goal-directed interventions to reduce end-organ ischemic injury.read more
Citations
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Recent achievements and future developments in neonatal cardiopulmonary bypass.
TL;DR: Technological advances in transfusion guidelines are difficult to construct based on existing literature, and should be taken advantage of in conjunction with an individualized transfusion scheme, based on monitoring of oxygen availability to the tissues.
Journal ArticleDOI
The Year in Review Anesthesia for Congenital Heart Disease 2014
TL;DR: This year in review article highlights some developing trends in the literature of congenital cardiac anesthesiology.
Journal ArticleDOI
Assessment of hand superficial oxygenation during ischemia/reperfusion in healthy subjects versus systemic sclerosis patients by 2D near infrared spectroscopic imaging.
Bushra Jalil,Valentina Hartwig,Ovidio Salvetti,Luca Poti,Luna Gargani,Tatiana Barskova,Marco Matucci Cerinic,Antonio L'Abbate +7 more
TL;DR: This is the first application of 2D NIRS imaging of the whole hand to the investigation of microvascular dysfunction in systemic sclerosis, and considers the StO2 in the entire hand allowing a comprehensive view of the spatial heterogeneity of microVascular dysfunction.
Journal ArticleDOI
Staying away from the edge – cerebral oximetry guiding blood pressure management
TL;DR: This issue describes the association between blood pressure changes in infants <3 months of age having anesthesia, and changes in regional cerebral oxygen saturation (rScO2) using Near Infrared Spectroscopy (NIRS), and concludes that ‘maintaining systolic blood pressure within 20% of baseline values appears a valid clinical target’.
References
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Early Goal-Directed Therapy in the Treatment of Severe Sepsis and Septic Shock
Emanuel P. Rivers,Bryant Nguyen,Suzanne Havstad,Julie Ressler,Alexandria Muzzin,Bernhard P. Knoblich,Edward L. Peterson,Michael C. Tomlanovich +7 more
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Noninvasive, infrared monitoring of cerebral and myocardial oxygen sufficiency and circulatory parameters
TL;DR: Observations by infrared transillumination in the exposed heart and in the brain in cephalo without surgical intervention show that oxygen sufficiency for cytochrome a,a3, function, changes in tissue blood volume, and the average hemoglobin-oxyhemoglobin equilibrium can be recorded effectively and in continuous fashion for research and clinical purposes.
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Part 8: Adult Advanced Cardiovascular Life Support 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
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TL;DR: The goal of therapy for bradycardia or tachycardia is to rapidly identify and treat patients who are hemodynamically unstable or symptomatic due to the arrhythmia.
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Reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems
Paul Barach,Stephen D. Small +1 more
TL;DR: Focusing on data for near misses may add noticeably more value to quality improvement than a sole focus on adverse events, and an environment fostering a rich reporting culture must be created to capture accurate and detailed data about nuances of care.
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Persistent microcirculatory alterations are associated with organ failure and death in patients with septic shock.
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