The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 4 , Pages 894-900 , April 2010

Cerebral and somatic oxygen saturation decrease after delayed sternal closure in children after cardiac surgery

Abstract read at the 2008 Annual Symposium of the Pediatric Cardiac Intensive care Society, Miami Beach, Fla, Dec 2–6, 2008.

  • Robert Horvath, MD

      Affiliations

    • Division of Pediatric Cardiology, University of Miami Leonard Miller School of Medicine and Holtz Children's Hospital/Jackson Memorial Hospital, Miami, Fla
    • ,
  • Shirah Shore, MD

      Affiliations

    • Division of Pediatric Cardiology, University of Miami Leonard Miller School of Medicine and Holtz Children's Hospital/Jackson Memorial Hospital, Miami, Fla
    • ,
  • Steven E. Schultz, MD

      Affiliations

    • Division of Pediatric Cardiology, University of Miami Leonard Miller School of Medicine and Holtz Children's Hospital/Jackson Memorial Hospital, Miami, Fla
    • ,
  • Eliot R. Rosenkranz, MD

      Affiliations

    • Division of Cardiothoracic Surgery, University of Miami Leonard Miller School of Medicine and Holtz Children's Hospital/Jackson Memorial Hospital, Miami, Fla
    • ,
  • Mary Cousins, ARNP

      Affiliations

    • Division of Cardiothoracic Surgery, University of Miami Leonard Miller School of Medicine and Holtz Children's Hospital/Jackson Memorial Hospital, Miami, Fla
    • ,
  • Marco Ricci, MD

      Affiliations

    • Division of Cardiothoracic Surgery, University of Miami Leonard Miller School of Medicine and Holtz Children's Hospital/Jackson Memorial Hospital, Miami, Fla
    • Corresponding Author InformationAddress for reprints: Marco Ricci, MD, Pediatric Cardiac Surgery, Holtz Children's Hospital/Jackson Memorial Hospital, University of Miami Miller School of Medicine, PO Box 016960 (R-114), Miami, FL 33136.

Received 27 January 2009 ,Revised 13 April 2009 ,Accepted 14 June 2009.

References 

  1. Tabbutt S, Duncan BW, McLaughlin D, Wessel DL, Jonas RA, Laussen PC. Delayed Sternal Closure after cardiac operations in a pediatric population. J Thorac Cardiovasc Surg. 1997;113:886–893
  2. Iyer RS, Jacobs JP, de Leval MR, Stark J, Elliott MJ. Outcomes after delayed sternal closure in pediatric heart operations: a 10-year experience. Ann Thorac Surg. 1997;63:489–491
  3. Andropoulos DB, Stayer SA, Diaz LK, Ramamoorthy C. Neurological monitoring for congenital heart surgery. Anesth Analg. 2004;99:1365–1375
  4. McQuillen PS, Nishimoto MS, Bottrell CL, Fineman LD, Hamrick SE, Glidden DV, et al. Regional and central venous oxygen saturation monitoring following pediatric cardiac surgery: concordance and association with clinical variables. Pediatr Crit Care Med. 2007;8:154–160
  5. Tortoriello TA, Stayer SA, Mott AR, McKenzie ED, Fraser CD, Andropoulos DB, et al. A noninvasive estimation of mixed venous oxygen saturation using near-infrared spectroscopy by cerebral oximetry in pediatric cardiac surgery patients. Paediatr Anaesth. 2005;15:495–503
  6. Daubeney PEF, Pilkington SN, Janke E, Charlton GA, Smith BC, Webber SA. Cerebral oxygenation measured by near-infrared spectroscopy: comparison with jugular bulb oximetry. Ann Thorac Surg. 1996;61:930–934
  7. Austin EH, Edmonds HL, Auden SM, Seremet V, Niznik G, Sehic A, et al. Benefit of neurophysiologic monitoring for pediatric cardiac surgery. J Thorac Cardiovasc Surg. 1997;114:707–717
  8. Kurth CD, Steven JL, Montenegro L, Watzman HM, Gaynor JW, Spray TL, et al. Cerebral oxygen saturation before congenital heart surgery. Ann Thorac Surg. 2001;72:187–192
  9. Hoffman GM, Stuth EA, Jaquiss RD, Vanderwal PL, Staudt SR, Troshynski TJ, et al. Changes in cerebral and somatic oxygenation during stage 1 palliation of hypoplastic left heart syndrome using continuous regional cerebral perfusion. J Thorac Cardiovasc Surg. 2004;127:223–233
  10. Ricci M, Lombardi P, Schultz S, Galindo A, Coscarella E, Vasquez A, et al. Near-Infrared spectroscopy to monitor cerebral oxygen saturation in single-ventricle physiology. J Thorac Cardiovasc Surg. 2006;131:395–402
  11. Kusaka T, Isobe K, Nagano K, Okubo K, Yasuda S, Kondo M, et al. Quantification of cerebral oxygenation by full-spectrum near-infrared spectroscopy using a two-point method. Compar Biochem Physiol. 2002;132:121–132
  12. Kurth CD, Levy WJ, McCann J. Near-infrared spectroscopy cerebral oxygen saturation thresholds for hypoxia-ischemia in piglets. J Cereb Blood Flow Metab. 2002;22:335–341
  13. Li J, Zhang G, Holtby H, Guerguerian AM, Cai S, Humpl T, et al. The influence of systemic hemodynamics and oxygen transport on cerebral oxygen saturation in neonates after the Norwood procedure. J Thorac Cardiovasc Surg. 2008;135:83–90
  14. Watzman HM, Kurth CD, Montenegro LM. Arterial and venous contributions to near-infrared cerebral oximetry. Anesthesiology. 2000;93:947–953

 Disclosures: None.

PII: S0022-5223(09)00866-6

doi: 10.1016/j.jtcvs.2009.06.013

The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 4 , Pages 894-900 , April 2010

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