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Correlation between Regional Cerebral Saturation and Invasive Cardiac Index Monitoring after Heart Transplantation Surgery.

Publication ,  Journal Article
Al-Subu, AM; Hornik, CP; Cheifetz, IM; Lodge, AJ; Ofori-Amanfo, G
Published in: J Pediatr Intensive Care
December 2018

The present study assessed the correlations between cerebral regional saturation detected by near infrared spectroscopy (NIRS) and cardiac index (CI) measured by pulmonary artery catheter. This was a retrospective cohort study conducted in the cardiac intensive care unit in a tertiary care children's hospital. Patients younger than 18 years of age who underwent heart transplantation and had a pulmonary artery catheter on admission to the pediatric cardiac intensive care unit between January, 2010, and August, 2013, were included. There were no interventions. A total of 10 patients were included with median age of 14 years (range, 7-17). Indications for transplantation were dilated cardiomyopathy ( n  = 9) and restrictive cardiomyopathy ( n  = 1). Mixed venous oxygen saturation (SvO 2 ), cerebral regional tissue saturation (rSO 2 ), and CI were recorded hourly for 8 to 92 hours post-transplantation. Spearman's rank correlation coefficient was used to assess correlations between SvO 2 and cerebral rSO 2 and between CI and cerebral rSO 2 . A total of 410 data points were collected. Median, 25th and 75th percentiles of cerebral rSO 2 , CI, and SvO 2 were 65% (54-69), 2.9 L/min/m 2 (2.2-4.0), and 75% (69-79), respectively. The correlation coefficient between cerebral rSO 2 and CI was 0.104 ( p  = 0.034) and that for cerebral rSO 2 and SvO 2 was 0.11 ( p  = 0.029). The correlations between cerebral rSO 2 and CI and between cerebral rSO 2 and SvO 2 were weak. Cerebral rSO 2 as detected by NIRS may not be an accurate indicator of CI in critically ill patients.

Duke Scholars

Published In

J Pediatr Intensive Care

DOI

ISSN

2146-4618

Publication Date

December 2018

Volume

7

Issue

4

Start / End Page

196 / 200

Location

Germany
 

Citation

APA
Chicago
ICMJE
MLA
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Al-Subu, A. M., Hornik, C. P., Cheifetz, I. M., Lodge, A. J., & Ofori-Amanfo, G. (2018). Correlation between Regional Cerebral Saturation and Invasive Cardiac Index Monitoring after Heart Transplantation Surgery. J Pediatr Intensive Care, 7(4), 196–200. https://doi.org/10.1055/s-0038-1660788
Al-Subu, Awni M., Christoph P. Hornik, Ira M. Cheifetz, Andrew J. Lodge, and George Ofori-Amanfo. “Correlation between Regional Cerebral Saturation and Invasive Cardiac Index Monitoring after Heart Transplantation Surgery.J Pediatr Intensive Care 7, no. 4 (December 2018): 196–200. https://doi.org/10.1055/s-0038-1660788.
Al-Subu AM, Hornik CP, Cheifetz IM, Lodge AJ, Ofori-Amanfo G. Correlation between Regional Cerebral Saturation and Invasive Cardiac Index Monitoring after Heart Transplantation Surgery. J Pediatr Intensive Care. 2018 Dec;7(4):196–200.
Al-Subu, Awni M., et al. “Correlation between Regional Cerebral Saturation and Invasive Cardiac Index Monitoring after Heart Transplantation Surgery.J Pediatr Intensive Care, vol. 7, no. 4, Dec. 2018, pp. 196–200. Pubmed, doi:10.1055/s-0038-1660788.
Al-Subu AM, Hornik CP, Cheifetz IM, Lodge AJ, Ofori-Amanfo G. Correlation between Regional Cerebral Saturation and Invasive Cardiac Index Monitoring after Heart Transplantation Surgery. J Pediatr Intensive Care. 2018 Dec;7(4):196–200.
Journal cover image

Published In

J Pediatr Intensive Care

DOI

ISSN

2146-4618

Publication Date

December 2018

Volume

7

Issue

4

Start / End Page

196 / 200

Location

Germany