Usefulness of central venous oxygen saturation monitoring during bidirectional Glenn shunt

• Kakuta Nami

  Department of Anesthesiology, Tokushima University Hospital

• Kawahito Shinji

  Department of Anesthesiology, Tokushima University Hospital

• Mita Naoji

  Department of Anesthesiology, Tokushima University Hospital

• Kambe Noriko

  Department of Anesthesiology, Tokushima University Hospital

• Kasai Asuka

  Department of Anesthesiology, Tokushima University Hospital

• Wakamatsu Narutomo

  Department of Anesthesiology, Tokushima University Hospital

• Katayama Toshiko

  Department of Anesthesiology, Tokushima University Hospital

• Soga Tomohiro

  Department of Anesthesiology, Tokushima University Hospital

• Tada Fumihiko

  Department of Anesthesia, Shikoku Medical Center for Children and Adults

• Kitaichi Takashi

  Department of Cardiovascular Surgery, Tokushima University Hospital

• Kitagawa Tetsuya

  Department of Cardiovascular Surgery, Tokushima University Hospital

• Kitahata Hiroshi

  Department of Dental Anesthesiology, Tokushima University Hospital

抄録

A PediaSat^TM oximetry catheter (PediaSat: Edwards Lifesciences Co., Ltd., Irvine, CA, U. S. A.), which facilitates continuous measurement of central venous oxygen saturation (ScvO₂), may be useful for surgery for pediatric congenital heart disease. We used PediaSat during a bidirectional Glenn shunt. The patient was a 13-month-old boy. Under a diagnosis of left single ventricle (pulmonary atresia, right ventricular hypoplasia, atrial septal defect) and residual left aortic arch/left superior vena cava, a modified right Blalock-Taussig shunt was performed. Cyanosis deteriorated, so a bidirectional Glenn shunt was scheduled. After anesthesia induction, a 4.5 Fr double-lumen (8 cm) PediaSat was inserted through the right internal jugular vein for continuous ScvO₂ monitoring. Furthermore, the probe of a near-infrared, mixed blood oxygen saturation-measuring monitor was attached to the forehead for continuous monitoring of the regional brain tissue mixed blood oxygen saturation (rSO₂) (INVOS^TM 5100C, Covidien; Boulder, CO, U. S. A.). Blockage of the right pulmonary artery and right superior vena cava decreased the oxygen saturation, ScvO₂, and rSO₂, but increased the central venous pressure. Although changes in ScvO₂ were parallel to those in rSO₂, the former showed more marked changes. A combination of ScvO₂ and rSO₂ for monitoring during Glenn shunt may be safer. J. Med. Invest. 60: 272-275, August, 2013

収録刊行物

• The Journal of Medical Investigation

  The Journal of Medical Investigation 60 (3.4), 272-275, 2013

  国立大学法人　徳島大学医学部

キーワード

• bidirectional Glenn shunt
• circulatory monitoring
• central venous oxygen saturation
• PediaSat oximetry catheter
• near-infrared spectroscopy

詳細情報

• CRID: 1390001204243365120
• NII論文ID: 130004822694
• NII書誌ID: AA11166929
• DOI: 10.2152/jmi.60.272
• ISSN: 13496867
• ISSN: 13431420
• PubMed: 24190047
• Web Site: http://repo.lib.tokushima-u.ac.jp/106368
• Web Site: https://www.jstage.jst.go.jp/article/jmi/60/3.4/60_272/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2014299052
• 本文言語コード: en
• データソース種別:
  • JaLC
  • IRDB
  • Crossref
  • PubMed
  • CiNii Articles
  • KAKEN
• 抄録ライセンスフラグ: 使用不可