Clinical experience with intraoperative jugular venous oximetry during pediatric intracranial neurosurgery

• DOI: 10.1111/pan.12031
• Publication Date: 2012-09-25T09:29:48Z
• Authors: Deepak Sharma; Arunotai Siriussa...; Neil Dooney; James G. Hecker; Monica S. Vavilala
• Keywords: Pulse Oximetry

Summary Aim To report our institutional experience with intraoperative jugular venous oximetry during pediatric intracranial surgery to guide anesthetic care. Background The utility of in adults undergoing is well known. However, there a little information on its' application children surgery. Methods After IRB approval, we examined patient, equipment, placement, and sampling characteristics for bulb catheters aged <18 years who were monitored elective between 2006 2010. We also determined the prevalence cerebral desaturation ( S jv O 2 < 55%), its causes, interventions based values. Results Data from 19 (10 males nine females), 12 ± 1 (range 7–17) underwent craniotomy arteriovenous malformation AVM ) resection (68%), tumor removal (21%), or aneurysm clipping (11%), reviewed. analyzed 88 coincident , P CO mean arterial pressure data points. Eleven (58%) patients experienced at least one episode desaturation. There 25 (28%) episodes desaturation, six which attributed relative hypotension, four hypocarbia, 15 combination both. no immediate postoperative (first 24 h) complications because oximetry. Conclusion Findings this series indicate that (i) feasible hands, (ii) detected by common procedures, (iii) monitoring saturation can impact optimize physiology.