Cerebral oximetry monitoring during aortic arch aneurysm replacement surgery in Jehovah's Witness patient -A case report-
Anesthetic management for aortic arch aneurysm (AAA) surgery employing deep hypothermic circulatory arrest in a Jehovah's Witness (JW) patient is a challenge to anesthesiologist due to its complexity of procedures and their refusal of allogeneic transfusion. Even in the strict application of in...
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2010-02-01
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| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kjae-58-191.pdf |
| _version_ | 1818318771106873344 |
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| author | Seong-Hyop Kim Tae-Gyoon Yoon Tae-Yop Kim Hae-Kyoung Kim Woo-Sung Sung |
| author_facet | Seong-Hyop Kim Tae-Gyoon Yoon Tae-Yop Kim Hae-Kyoung Kim Woo-Sung Sung |
| author_sort | Seong-Hyop Kim |
| collection | DOAJ |
| description | Anesthetic management for aortic arch aneurysm (AAA) surgery employing deep hypothermic circulatory arrest in a Jehovah's Witness (JW) patient is a challenge to anesthesiologist due to its complexity of procedures and their refusal of allogeneic transfusion. Even in the strict application of intraoperative acute normovolemic hemodilution (ANH) and intraopertive cell salvage (ICS) technique, prompt timing of re-administration of salvaged blood is essential for successful operation without allogeneic transfusion or ischemic complication of major organs. Cerebral oximetery (rSO2) monitoring using near infrared spectroscopy is a useful modality for detecting cerebral ischemia during the AAA surgery requiring direct interruption of cerebral flow. The present case showed that rSO2 can be used as a trigger facilitating to find a better timing for the re-administration of salvaged blood acquired during the AAA surgery for JW patient. |
| first_indexed | 2024-12-13T09:58:31Z |
| format | Article |
| id | doaj.art-44c93f3d90154e139917038b61626a87 |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-12-13T09:58:31Z |
| publishDate | 2010-02-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-44c93f3d90154e139917038b61626a872022-12-21T23:51:43ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632010-02-0158219119610.4097/kjae.2010.58.2.1916850Cerebral oximetry monitoring during aortic arch aneurysm replacement surgery in Jehovah's Witness patient -A case report-Seong-Hyop Kim0Tae-Gyoon Yoon1Tae-Yop Kim2Hae-Kyoung Kim3Woo-Sung Sung4Department of Anesthesiology and Pain Medicine, Masan Samsung Hospital, Sungkyunkwan University School of Medicine, Masan, Korea.Department of Anesthesiology and Pain Medicine, Masan Samsung Hospital, Sungkyunkwan University School of Medicine, Masan, Korea.Department of Anesthesiology and Pain Medicine, Masan Samsung Hospital, Sungkyunkwan University School of Medicine, Masan, Korea.Department of Anesthesiology and Pain Medicine, Masan Samsung Hospital, Sungkyunkwan University School of Medicine, Masan, Korea.Department of Anesthesiology and Pain Medicine, Masan Samsung Hospital, Sungkyunkwan University School of Medicine, Masan, Korea.Anesthetic management for aortic arch aneurysm (AAA) surgery employing deep hypothermic circulatory arrest in a Jehovah's Witness (JW) patient is a challenge to anesthesiologist due to its complexity of procedures and their refusal of allogeneic transfusion. Even in the strict application of intraoperative acute normovolemic hemodilution (ANH) and intraopertive cell salvage (ICS) technique, prompt timing of re-administration of salvaged blood is essential for successful operation without allogeneic transfusion or ischemic complication of major organs. Cerebral oximetery (rSO2) monitoring using near infrared spectroscopy is a useful modality for detecting cerebral ischemia during the AAA surgery requiring direct interruption of cerebral flow. The present case showed that rSO2 can be used as a trigger facilitating to find a better timing for the re-administration of salvaged blood acquired during the AAA surgery for JW patient.http://ekja.org/upload/pdf/kjae-58-191.pdfaortic arch aneurysmcerebral oximetryjehovah's witness |
| spellingShingle | Seong-Hyop Kim Tae-Gyoon Yoon Tae-Yop Kim Hae-Kyoung Kim Woo-Sung Sung Cerebral oximetry monitoring during aortic arch aneurysm replacement surgery in Jehovah's Witness patient -A case report- Korean Journal of Anesthesiology aortic arch aneurysm cerebral oximetry jehovah's witness |
| title | Cerebral oximetry monitoring during aortic arch aneurysm replacement surgery in Jehovah's Witness patient -A case report- |
| title_full | Cerebral oximetry monitoring during aortic arch aneurysm replacement surgery in Jehovah's Witness patient -A case report- |
| title_fullStr | Cerebral oximetry monitoring during aortic arch aneurysm replacement surgery in Jehovah's Witness patient -A case report- |
| title_full_unstemmed | Cerebral oximetry monitoring during aortic arch aneurysm replacement surgery in Jehovah's Witness patient -A case report- |
| title_short | Cerebral oximetry monitoring during aortic arch aneurysm replacement surgery in Jehovah's Witness patient -A case report- |
| title_sort | cerebral oximetry monitoring during aortic arch aneurysm replacement surgery in jehovah s witness patient a case report |
| topic | aortic arch aneurysm cerebral oximetry jehovah's witness |
| url | http://ekja.org/upload/pdf/kjae-58-191.pdf |
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