Neonatal cerebral oximetry monitoring during ECMO cannulation

Cerebral oximetry monitoring during sinus endoscopy.

OBJECTIVES/HYPOTHESIS Deliberate hypotension, reverse Trendelenburg position, and hyperventilation are techniques utilized during functional endoscopic sinus surgery to attempt to reduce surgical bleeding. These methods may predispose patients to cerebral ischemia. Cerebral oximetry has not been investigated extensively within otolaryngologic surgery. Our study sought to address the question of...

Pitfalls in percutaneous ECMO cannulation

INTRODUCTION This observational report depicts typical problems of extracorporeal membrane oxygenation cannulation from a large case series of a single center. METHODS We analysed our experience with 720 consecutive patients receiving veno-venous or veno-arterial extracorporeal membrane oxygenation focusing on the spectrum of complications occurring in a subset of 159 patients treated with pe...

MEDICAL INTELLIGENCE Cerebral Monitoring: Jugular Venous Oximetry

The internal jugular vein exits the skull and continues its course, within the carotid sheath, beneath the sternocleidomastoid muscle in a posterolateral approximation to the carotid artery. The jugular bulb is the dilated portion of the jugular vein just below the base of the skull and is the preferred site for blood sampling (see Figure 1). Although blood in the jugular bulb is derived from b...

Cerebral monitoring during carotid endarterectomy--a comparison between electroencephalography, transcranial cerebral oximetry and carotid stump pressure.

OBJECTIVE Various modalities are used for cerebral monitoring during carotid endarterectomy (CEA). The aim of this study was to evaluate whether transcranial cerebral oximetry (TCO) and carotid stump pressure (SP) are as accurate as electroencephalography (EEG) for monitoring cerebral ischaemia during carotid cross-clamping. METHODS One hundred consecutive patients who underwent CEA were stud...

Accuracy of pulse oximetry during neonatal resuscitation