Combined cerebral and somatic near-infrared spectroscopy oximetry monitoring during liver surgery: an observational and non-interventional study
Background Cerebral oximetry using near-infrared spectroscopy (NIRS) is used for monitoring cerebral oxygen saturation during cardiac surgery and is correlated with clinical outcomes. Our goal was to explore cerebral and somatic NIRS in liver resections as a predictor of post-operative complications...
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2022-10-01
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| Series: | Korean Journal of Anesthesiology |
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| Online Access: | http://ekja.org/upload/pdf/kja-21414.pdf |
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| author | Yves Collin Tina Hu André Denault Annik Fortier William Beaubien-Souligny Réal Lapointe Franck Vandenbroucke-Menu |
| author_facet | Yves Collin Tina Hu André Denault Annik Fortier William Beaubien-Souligny Réal Lapointe Franck Vandenbroucke-Menu |
| author_sort | Yves Collin |
| collection | DOAJ |
| description | Background Cerebral oximetry using near-infrared spectroscopy (NIRS) is used for monitoring cerebral oxygen saturation during cardiac surgery and is correlated with clinical outcomes. Our goal was to explore cerebral and somatic NIRS in liver resections as a predictor of post-operative complications. Methods Prospective observational and non-interventional study from a tertiary care university hospital including adult patients undergoing liver resection monitored using NIRS at four sites before and during surgery. Those sites were: frontotemporal left and right zones, right thigh, and right arm. Anesthesiologists and surgeons were blinded to oximetry values. Correlations were assessed between baseline oximetry values and cerebro-somatic desaturation load (threshold of 80% from baseline) values with peri-operative events and complications. Results Ninety patients were distributed equally among gender with a mean age of 59.7 ± 13.1 years. Lower baseline cerebral and/or somatic values were associated with increased risk of delirium, respiratory failure, surgical and renal complications, blood transfusions, and length of stay in the intensive care unit and in the hospital (P < 0.05). The severity of somatic desaturation below 80% was the only parameter associated with blood losses (P = 0.030) and length of hospital stay (P = 0.047). Conclusions Cerebral and somatic desaturation does occur in liver resection and can be used simultaneously during liver surgery. Both baseline cerebral and somatic NIRS values are correlated with complications and outcomes. However, thigh desaturation appears more sensitive than cerebral NIRS values in predicting some of these complications. |
| first_indexed | 2024-04-13T20:07:27Z |
| format | Article |
| id | doaj.art-00721dc86cbf4ed990396cd329d953fb |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-04-13T20:07:27Z |
| publishDate | 2022-10-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-00721dc86cbf4ed990396cd329d953fb2022-12-22T02:31:57ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632022-10-0175537139010.4097/kja.214148789Combined cerebral and somatic near-infrared spectroscopy oximetry monitoring during liver surgery: an observational and non-interventional studyYves Collin0Tina Hu1André Denault2Annik Fortier3William Beaubien-Souligny4Réal Lapointe5Franck Vandenbroucke-Menu6 Department of Hepatobiliary-Pancreatic Surgery and Transplantation, Centre Hospitalier de l’Université de Montréal, Montreal, QC, Canada Intensive Care Unit, Centre Hospitalier de l’Université de Montréal, Montreal, QC, Canada Intensive Care Unit, Centre Hospitalier de l’Université de Montréal, Montreal, QC, Canada Montreal Health Innovations Coordinating Center (MHICC), Montreal Heart Institute, Montreal, QC, Canada Division of Nephrology, Centre Hospitalier de l’Université de Montréal, Montreal, QC, Canada Department of Hepatobiliary-Pancreatic Surgery and Transplantation, Centre Hospitalier de l’Université de Montréal, Montreal, QC, Canada Department of Hepatobiliary-Pancreatic Surgery and Transplantation, Centre Hospitalier de l’Université de Montréal, Montreal, QC, CanadaBackground Cerebral oximetry using near-infrared spectroscopy (NIRS) is used for monitoring cerebral oxygen saturation during cardiac surgery and is correlated with clinical outcomes. Our goal was to explore cerebral and somatic NIRS in liver resections as a predictor of post-operative complications. Methods Prospective observational and non-interventional study from a tertiary care university hospital including adult patients undergoing liver resection monitored using NIRS at four sites before and during surgery. Those sites were: frontotemporal left and right zones, right thigh, and right arm. Anesthesiologists and surgeons were blinded to oximetry values. Correlations were assessed between baseline oximetry values and cerebro-somatic desaturation load (threshold of 80% from baseline) values with peri-operative events and complications. Results Ninety patients were distributed equally among gender with a mean age of 59.7 ± 13.1 years. Lower baseline cerebral and/or somatic values were associated with increased risk of delirium, respiratory failure, surgical and renal complications, blood transfusions, and length of stay in the intensive care unit and in the hospital (P < 0.05). The severity of somatic desaturation below 80% was the only parameter associated with blood losses (P = 0.030) and length of hospital stay (P = 0.047). Conclusions Cerebral and somatic desaturation does occur in liver resection and can be used simultaneously during liver surgery. Both baseline cerebral and somatic NIRS values are correlated with complications and outcomes. However, thigh desaturation appears more sensitive than cerebral NIRS values in predicting some of these complications.http://ekja.org/upload/pdf/kja-21414.pdfcompartment syndromeshepatectomyintraoperative complicationsliveroximetryphysiologic monitoring |
| spellingShingle | Yves Collin Tina Hu André Denault Annik Fortier William Beaubien-Souligny Réal Lapointe Franck Vandenbroucke-Menu Combined cerebral and somatic near-infrared spectroscopy oximetry monitoring during liver surgery: an observational and non-interventional study Korean Journal of Anesthesiology compartment syndromes hepatectomy intraoperative complications liver oximetry physiologic monitoring |
| title | Combined cerebral and somatic near-infrared spectroscopy oximetry monitoring during liver surgery: an observational and non-interventional study |
| title_full | Combined cerebral and somatic near-infrared spectroscopy oximetry monitoring during liver surgery: an observational and non-interventional study |
| title_fullStr | Combined cerebral and somatic near-infrared spectroscopy oximetry monitoring during liver surgery: an observational and non-interventional study |
| title_full_unstemmed | Combined cerebral and somatic near-infrared spectroscopy oximetry monitoring during liver surgery: an observational and non-interventional study |
| title_short | Combined cerebral and somatic near-infrared spectroscopy oximetry monitoring during liver surgery: an observational and non-interventional study |
| title_sort | combined cerebral and somatic near infrared spectroscopy oximetry monitoring during liver surgery an observational and non interventional study |
| topic | compartment syndromes hepatectomy intraoperative complications liver oximetry physiologic monitoring |
| url | http://ekja.org/upload/pdf/kja-21414.pdf |
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