Cerebral oximetry monitoring during aortic arch aneurysm replacement surgery in Jehovah's Witness patient -A case report-.
10.4097/kjae.2010.58.2.191
- Author:
Seong Hyop KIM
1
;
Tae Gyoon YOON
;
Tae Yop KIM
;
Hae Kyoung KIM
;
Woo Sung SUNG
Author Information
1. Department of Anesthesiology and Pain Medicine, Konkuk University School of Medicine, Seoul, Korea. pondkim@unitel.co.kr
- Publication Type:Case Report
- Keywords:
Aortic arch aneurysm;
Cerebral oximetry;
Jehovah's Witness
- MeSH:
Aneurysm;
Aorta, Thoracic;
Brain Ischemia;
Circulatory Arrest, Deep Hypothermia Induced;
Disulfiram;
Hemodilution;
Humans;
Oximetry;
Spectrum Analysis;
Wit and Humor as Topic
- From:Korean Journal of Anesthesiology
2010;58(2):191-196
- CountryRepublic of Korea
- Language:English
-
Abstract:
Anesthetic management for aortic arch aneurysm (AAA) surgery employing deep hypothermic circulatory arrest in a Jehovah's Witness (JW) patient is a challenge to anesthesiologist due to its complexity of procedures and their refusal of allogeneic transfusion. Even in the strict application of intraoperative acute normovolemic hemodilution (ANH) and intraopertive cell salvage (ICS) technique, prompt timing of re-administration of salvaged blood is essential for successful operation without allogeneic transfusion or ischemic complication of major organs. Cerebral oximetery (rSO2) monitoring using near infrared spectroscopy is a useful modality for detecting cerebral ischemia during the AAA surgery requiring direct interruption of cerebral flow. The present case showed that rSO2 can be used as a trigger facilitating to find a better timing for the re-administration of salvaged blood acquired during the AAA surgery for JW patient.
