Volume 16, Issue 7 pp. 787-789

Bilateral monitoring of cerebral oxygen saturation results in recognition of aortic cannula malposition during pediatric congenital heart surgery

ERIN A. GOTTLIEB MD

ERIN A. GOTTLIEB MD

The Arthur S. Keats, M.D. Division of Pediatric Cardiovascular Anesthesiology

Search for more papers by this author
CHARLES D. FRASER JR MD

CHARLES D. FRASER JR MD

Division of Congenital Heart Surgery, Texas Children's Hospital, Houston, TX, USA

Search for more papers by this author
DEAN B. ANDROPOULOS MD

DEAN B. ANDROPOULOS MD

The Arthur S. Keats, M.D. Division of Pediatric Cardiovascular Anesthesiology

Search for more papers by this author
LAURA K. DIAZ MD

LAURA K. DIAZ MD

The Arthur S. Keats, M.D. Division of Pediatric Cardiovascular Anesthesiology

Search for more papers by this author
First published: 16 June 2006
Citations: 69
Laura K. Diaz, MD, The Arthur S. Keats, M.D. Division of Pediatric Cardiovascular Anesthesiology, Texas Children's Hospital, 6621 Fannin St, WT 19345H, Houston, TX 77030, USA (email: [email protected]).

Summary

Congenital heart surgery is associated with a 2–25% reported incidence of neurological complication. Near-infrared spectroscopy (NIRS) can detect changes in regional cerebral saturation index (rSO2i) during cardiac surgery. If rSO2i decreases significantly, treatment algorithms are used to restore baseline values, potentially avoiding neurological complications. The efficacy of bilateral NIRS monitoring in pediatric congenital heart surgery has been debated. We report a case in which bilateral NIRS monitoring detected an abrupt decrease in rSO2i (right greater than left) after initiation of bypass without abnormalities detected by standard monitors. This resulted in prompt surgical intervention that restored rSO2i, potentially preventing neurological injury.

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.