Usefulness of central venous oxygen saturation monitoring during bidirectional Glenn shunt
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- Kakuta Nami
- Department of Anesthesiology, Tokushima University Hospital
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- Kawahito Shinji
- Department of Anesthesiology, Tokushima University Hospital
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- Mita Naoji
- Department of Anesthesiology, Tokushima University Hospital
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- Kambe Noriko
- Department of Anesthesiology, Tokushima University Hospital
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- Kasai Asuka
- Department of Anesthesiology, Tokushima University Hospital
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- Wakamatsu Narutomo
- Department of Anesthesiology, Tokushima University Hospital
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- Katayama Toshiko
- Department of Anesthesiology, Tokushima University Hospital
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- Soga Tomohiro
- Department of Anesthesiology, Tokushima University Hospital
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- Tada Fumihiko
- Department of Anesthesia, Shikoku Medical Center for Children and Adults
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- Kitaichi Takashi
- Department of Cardiovascular Surgery, Tokushima University Hospital
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- Kitagawa Tetsuya
- Department of Cardiovascular Surgery, Tokushima University Hospital
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- Kitahata Hiroshi
- Department of Dental Anesthesiology, Tokushima University Hospital
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A PediaSatTM 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) (INVOSTM 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
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- The Journal of Medical Investigation
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The Journal of Medical Investigation 60 (3.4), 272-275, 2013
国立大学法人 徳島大学医学部
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詳細情報 詳細情報について
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- CRID
- 1390001204243365120
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- NII論文ID
- 130004822694
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- NII書誌ID
- AA11166929
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- ISSN
- 13496867
- 13431420
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- PubMed
- 24190047
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- IRDB
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- PubMed
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