Cerebral Tissue Oxygenation Index Using Near-infrared Spectroscopy during Extracorporeal Cardio-pulmonary Resuscitation Predicted Good Neurological Recovery in a Patient with Acute Severe Anemia

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  • Koyama Yasuaki
    Department of Emergency and Critical Care Medicine, University of Tsukuba Hospital, Japan
  • Mizutani Taro
    Department of Emergency and Critical Care Medicine, University of Tsukuba Hospital, Japan
  • Marushima Aiki
    Department of Emergency and Critical Care Medicine, University of Tsukuba Hospital, Japan
  • Sonobe Aiko
    Department of Emergency and Critical Care Medicine, University of Tsukuba Hospital, Japan
  • Shimojo Nobutake
    Department of Emergency and Critical Care Medicine, University of Tsukuba Hospital, Japan
  • Kawano Satoru
    Department of Emergency and Critical Care Medicine, University of Tsukuba Hospital, Japan

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<p>We herein report the clinical course of a patient who had a good neurological outcome despite severe anemia, high serum lactate levels, and a long period of time from cardiac arrest (CA) to extracorporeal cardio-pulmonary resuscitation (ECPR) establishment. During the period of resuscitation, the tissue oxygenation index (TOI) values were measured continuously by a near-infrared spectroscopy monitoring device and were kept within the normal range. The TOI seems to reflect cerebral perfusion and the balance between the oxygen supply and demand in the brain during ECPR, thereby predicting the neurological outcome. Continuous TOI monitoring is useful for predicting the neurological outcome during ECPR. </p>

収録刊行物

  • Internal Medicine

    Internal Medicine 56 (18), 2451-2453, 2017

    一般社団法人 日本内科学会

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