scholarly journals Effect of elective blood transfusion on cerebral and somatic tissue oxygenation and cardio-respiratory stability in infants with anaemia of prematurity

2017 ◽  
Vol 53 ◽  
pp. 87-87
Keyword(s):  
Blood Transfusion ◽  
Tissue Oxygenation ◽  
Somatic Tissue ◽  
Anaemia Of Prematurity

scholarly journals The effect of selective cerebral perfusion on cerebral versus somatic tissue oxygenation during aortic coarctation repair in neonates and infants

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Li Zhang ◽  
Lu Liu ◽  
Zhiqiu Zhong ◽  
Hengfang Jin ◽  
Jian Jia ◽  
...  
Keyword(s):  
Aortic Coarctation ◽  
Cerebral Perfusion ◽  
Tissue Oxygenation ◽  
Perioperative Complications ◽  
Somatic Tissue ◽  
Tissue Oxygen Saturation ◽  
Selective Cerebral Perfusion ◽  
Arterial Blood ◽  
Coarctation Repair ◽  
Neonates And Infants

Abstract Background Suboptimal tissue perfusion and oxygenation may be the root cause of certain perioperative complications in neonates and infants having complicated aortic coarctation repair. Practical, effective, and real-time monitoring of organ perfusion and/or tissue oxygenation may provide early warning of end-organ mal-perfusion. Methods Neonates/infants who were scheduled for aortic coarctation repair with cardiopulmonary bypass (CPB) and selective cerebral perfusion (SCP) from January 2015 to February 2017 in Children’s Hospital of Nanjing Medical University participated in this prospective observational study. Cerebral and somatic tissue oxygen saturation (SctO2 and SstO2) were monitored on the forehead and at the thoracolumbar paraspinal region, respectively. SctO2 and SstO2 were recorded at different time points (baseline, skin incision, CPB start, SCP start, SCP end, aortic opening, CPB end, and surgery end). SctO2 and SstO2 were correlated with mean arterial pressure (MAP) and partial pressure of arterial blood carbon dioxide (PaCO2). Results Data of 21 patients were analyzed (age=75±67 days, body weight=4.4±1.0 kg). SstO2 was significantly lower than SctO2 before aortic opening and significantly higher than SctO2 after aortic opening. SstO2 correlated with leg MAP when the measurements during SCP were (r=0.67, p<0.0001) and were not included (r=0.46, p<0.0001); in contrast, SctO2 correlated with arm MAP only when the measurements during SCP were excluded (r=0.14, p=0.08 vs. r=0.66, p<0.0001). SCP also confounded SctO2/SstO2’s correlation with PaCO2; when the measurements during SCP were excluded, SctO2 positively correlated with PaCO2 (r=0.65, p<0.0001), while SstO2 negatively correlated with PaCO2 (r=-0.53, p<0.0001). Conclusions SctO2 and SstO2 have distinct patterns of changes before and after aortic opening during neonate/infant aortic coarctation repair. SctO2/SstO2’s correlations with MAP and PaCO2 are confounded by SCP. The outcome impact of combined SctO2/SstO2 monitoring remains to be studied.

scholarly journals Blood transfusion during haemodialysis improves systemic tissue oxygenation: A case report

Nefrología ◽  
2017 ◽  
Vol 37 (4) ◽  
pp. 435-437 ◽  
Author(s):  
Kiyonori Ito ◽  
Susumu Ookawara ◽  
Yuichiro Ueda ◽  
Takayuki Uchida ◽  
Masaya Kofuji ◽  
...  
Keyword(s):  
Case Report ◽  
Blood Transfusion ◽  
Tissue Oxygenation

Newborn's Brain and Somatic Tissue Oxygenation during Skin-to-Skin Contact

PEDIATRICS ◽  
2016 ◽  
Vol 137 (Supplement 3) ◽  
pp. 241A-241A
Author(s):  
Natalia Isaza ◽  
Khodayar Rais-Bahrami ◽  
Mariam Said ◽  
Mauricio Cabrera
Keyword(s):  
Tissue Oxygenation ◽  
Somatic Tissue ◽  
Skin Contact ◽  
Skin To Skin

Blood transfusion for anaemia of prematurity: Current practice in Australia and New Zealand

2018 ◽  
Vol 55 (4) ◽  
pp. 433-440 ◽  
Author(s):  
Maria Saito‐Benz ◽  
Meghan E Sandle ◽  
Paul B Jackson ◽  
Mary J Berry
Keyword(s):  
New Zealand ◽  
Blood Transfusion ◽  
Current Practice ◽  
Anaemia Of Prematurity

Regional High-Flow Cerebral Perfusion Improves Both Cerebral and Somatic Tissue Oxygenation in Aortic Arch Repair

2010 ◽  
Vol 90 (2) ◽  
pp. 593-599 ◽  
Author(s):  
Kagami Miyaji ◽  
Takashi Miyamoto ◽  
Satoshi Kohira ◽  
Kei-ichi Itatani ◽  
Takahiro Tomoyasu ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Cerebral Perfusion ◽  
Tissue Oxygenation ◽  
Somatic Tissue ◽  
High Flow ◽  
Aortic Arch Repair
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