Simultaneous monitoring of quantitative EEG and cerebral oxygenation in heart transplantation Kalp Transplantasyonunda Kantitatif EEG ve Serebral Oksijenasyonun Birlikte Monitörizasyonu
Gogus-Kalp-Damar Anestezi ve Yogun Bakim Dernegi Dergisi, cilt.22, sa.2, ss.50-54, 2016 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 22 Sayı: 2
- Basım Tarihi: 2016
- Doi Numarası: 10.5222/gkdad.2016.050
- Dergi Adı: Gogus-Kalp-Damar Anestezi ve Yogun Bakim Dernegi Dergisi
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.50-54
- Anahtar Kelimeler: Cardiac anesthesia, Cerebral oximetry, Electroencephalography, Heart transplantation, Near infrared spectroscopy, Patient state index, Spectral edge frequency
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: In this article, we discuss intraoperative changes of EEG, SEF, PSI values measured by Sed-Line® and bilateral cerebral oxymetry (rSO2) values measured by NIRS in heart transplantation, and their interrelationships. Material and Methods: Thirteen adult patients who had undergone heart transplantation were included in our study. Demographic, and clinical data, intraoperative hemodynamic values; cerebral monitorization and mortality data were collected prospectively. Bilateral SEF values, PSI values and bilateral rSO2 values were recorded before (phase 1), and 5 minutes (phase 2), after anaesthesic induction of anesthesia 5 minutes after establishing cardiopulmonary bypass (phase 3), 5 minutes after cross-clamping (phase 4), at 5. minute after weaning from cardiopulmonary bypass (phase 5), and at the end of the operation (phase 6). Results: Mean age of the patients was 32.7±10.8 years. rSO2 and SEF values did not show any significant difference between right and left hemispheres. Preoperative SEF, PSI and rSO2 values declined significantly after induction of anesthesia and remained significantly lower compared with the baseline measurement throughout the operation. Discussion and Conclusion: In this study, cerebral monitoring values decreased significantly after induction due to the impact of anesthesia and remained low throughout the operation as expected. Any critical adverse event which required intervention did not occur. in these cases. Multimodal neuromonitorization can be a lodestar for anaesthetic induction, resternotomies, cannulation, serious arrhythmias, hypotensive attacks due to medications used, embolic events due to intracardiac thrombi and sudden development of dysfunction in the donor heart in these patients with borderline ventricular function.