Cargando…

Intraoperative application of regional cerebral oxygen saturation monitoring for geriatric patients in China: a survey

BACKGROUND: Regional cerebral oxygen saturation (rSO(2)) monitoring is a real-time and non-invasive technique for estimating the balance of regional cerebral oxygen supply and consumption. Despite the growing popularity of this monitoring technique, data regarding outcome benefits remain sparse and...

Descripción completa

Detalles Bibliográficos
Autores principales: Zhang, Jie, Shen, Haiyan, Wang, Huiping, Xiao, Feng, Deng, Lu, Chen, Xiang, Xie, Yongqiu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10513170/
https://www.ncbi.nlm.nih.gov/pubmed/37746075
http://dx.doi.org/10.3389/fmed.2023.1165821
_version_ 1785108507764195328
author Zhang, Jie
Shen, Haiyan
Wang, Huiping
Xiao, Feng
Deng, Lu
Chen, Xiang
Xie, Yongqiu
author_facet Zhang, Jie
Shen, Haiyan
Wang, Huiping
Xiao, Feng
Deng, Lu
Chen, Xiang
Xie, Yongqiu
author_sort Zhang, Jie
collection PubMed
description BACKGROUND: Regional cerebral oxygen saturation (rSO(2)) monitoring is a real-time and non-invasive technique for estimating the balance of regional cerebral oxygen supply and consumption. Despite the growing popularity of this monitoring technique, data regarding outcome benefits remain sparse and contradictory. This study was conducted to explore the popularity and understanding of cerebral oxygen saturation monitoring during anesthesia in geriatric patients. METHODS: An online self-report questionnaire was distributed in March 2021 to various hospitals in China for dissemination to anesthesiologists. Questions surveyed cerebral oximetry equipment and utilization, demographics, and clinical practice of participants. RESULTS: In total, 447 anesthesiologists responded. Of these, 301 (67.3%) respondents reported that their hospitals were equipped with cerebral oximetry, which 274 anesthesiologists use during anesthesia. A high percentage of anesthesiologists chose to monitor rSO(2) during cardiac surgery (77.4%, n = 212) and neurosurgery (40.5%, n = 111). Most anesthesiologists agreed that a 30% reduction from the rSO(2) baseline requires intervention to avoid cerebral ischemia, mainly via elevating arterial pressure and fraction of inspired oxygen (FiO(2)). Of those without cerebral oximetry, 138 of 146 (94.5%) anesthesiologists were willing to monitor rSO(2). In addition, 291 respondents believed that cerebral oxygen monitoring would help prevent postoperative cognitive dysfunction. CONCLUSION: Our survey indicated that the prevalence of cerebral oximetry remains relatively low, while almost all anesthesiologists expressed their willingness to use rSO(2) monitoring in geriatric anesthesia. Heterogeneity in clinical practice was identified, indicating relevant knowledge gaps that should encourage further clinical research to optimize treatment.
format Online
Article
Text
id pubmed-10513170
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-105131702023-09-22 Intraoperative application of regional cerebral oxygen saturation monitoring for geriatric patients in China: a survey Zhang, Jie Shen, Haiyan Wang, Huiping Xiao, Feng Deng, Lu Chen, Xiang Xie, Yongqiu Front Med (Lausanne) Medicine BACKGROUND: Regional cerebral oxygen saturation (rSO(2)) monitoring is a real-time and non-invasive technique for estimating the balance of regional cerebral oxygen supply and consumption. Despite the growing popularity of this monitoring technique, data regarding outcome benefits remain sparse and contradictory. This study was conducted to explore the popularity and understanding of cerebral oxygen saturation monitoring during anesthesia in geriatric patients. METHODS: An online self-report questionnaire was distributed in March 2021 to various hospitals in China for dissemination to anesthesiologists. Questions surveyed cerebral oximetry equipment and utilization, demographics, and clinical practice of participants. RESULTS: In total, 447 anesthesiologists responded. Of these, 301 (67.3%) respondents reported that their hospitals were equipped with cerebral oximetry, which 274 anesthesiologists use during anesthesia. A high percentage of anesthesiologists chose to monitor rSO(2) during cardiac surgery (77.4%, n = 212) and neurosurgery (40.5%, n = 111). Most anesthesiologists agreed that a 30% reduction from the rSO(2) baseline requires intervention to avoid cerebral ischemia, mainly via elevating arterial pressure and fraction of inspired oxygen (FiO(2)). Of those without cerebral oximetry, 138 of 146 (94.5%) anesthesiologists were willing to monitor rSO(2). In addition, 291 respondents believed that cerebral oxygen monitoring would help prevent postoperative cognitive dysfunction. CONCLUSION: Our survey indicated that the prevalence of cerebral oximetry remains relatively low, while almost all anesthesiologists expressed their willingness to use rSO(2) monitoring in geriatric anesthesia. Heterogeneity in clinical practice was identified, indicating relevant knowledge gaps that should encourage further clinical research to optimize treatment. Frontiers Media S.A. 2023-09-07 /pmc/articles/PMC10513170/ /pubmed/37746075 http://dx.doi.org/10.3389/fmed.2023.1165821 Text en Copyright © 2023 Zhang, Shen, Wang, Xiao, Deng, Chen and Xie. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
Zhang, Jie
Shen, Haiyan
Wang, Huiping
Xiao, Feng
Deng, Lu
Chen, Xiang
Xie, Yongqiu
Intraoperative application of regional cerebral oxygen saturation monitoring for geriatric patients in China: a survey
title Intraoperative application of regional cerebral oxygen saturation monitoring for geriatric patients in China: a survey
title_full Intraoperative application of regional cerebral oxygen saturation monitoring for geriatric patients in China: a survey
title_fullStr Intraoperative application of regional cerebral oxygen saturation monitoring for geriatric patients in China: a survey
title_full_unstemmed Intraoperative application of regional cerebral oxygen saturation monitoring for geriatric patients in China: a survey
title_short Intraoperative application of regional cerebral oxygen saturation monitoring for geriatric patients in China: a survey
title_sort intraoperative application of regional cerebral oxygen saturation monitoring for geriatric patients in china: a survey
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10513170/
https://www.ncbi.nlm.nih.gov/pubmed/37746075
http://dx.doi.org/10.3389/fmed.2023.1165821
work_keys_str_mv AT zhangjie intraoperativeapplicationofregionalcerebraloxygensaturationmonitoringforgeriatricpatientsinchinaasurvey
AT shenhaiyan intraoperativeapplicationofregionalcerebraloxygensaturationmonitoringforgeriatricpatientsinchinaasurvey
AT wanghuiping intraoperativeapplicationofregionalcerebraloxygensaturationmonitoringforgeriatricpatientsinchinaasurvey
AT xiaofeng intraoperativeapplicationofregionalcerebraloxygensaturationmonitoringforgeriatricpatientsinchinaasurvey
AT denglu intraoperativeapplicationofregionalcerebraloxygensaturationmonitoringforgeriatricpatientsinchinaasurvey
AT chenxiang intraoperativeapplicationofregionalcerebraloxygensaturationmonitoringforgeriatricpatientsinchinaasurvey
AT xieyongqiu intraoperativeapplicationofregionalcerebraloxygensaturationmonitoringforgeriatricpatientsinchinaasurvey