Cerebral Tissue Oxygenation Index Using Near-infrared Spectroscopy during Extracorporeal Cardio-pulmonary Resuscitation Predicted Good Neurological Recovery in a Patient with Acute Severe Anemia

We herein report the clinical course of a patient who had a good neurological outcome despite severe anemia, high serum lactate levels, and a long period of time from cardiac arrest (CA) to extracorporeal cardio-pulmonary resuscitation (ECPR) establishment. During the period of resuscitation, the ti...

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Autores principales: Koyama, Yasuaki, Mizutani, Taro, Marushima, Aiki, Sonobe, Aiko, Shimojo, Nobutake, Kawano, Satoru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5643173/
https://www.ncbi.nlm.nih.gov/pubmed/28824052
http://dx.doi.org/10.2169/internalmedicine.7826-16
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author Koyama, Yasuaki
Mizutani, Taro
Marushima, Aiki
Sonobe, Aiko
Shimojo, Nobutake
Kawano, Satoru
author_facet Koyama, Yasuaki
Mizutani, Taro
Marushima, Aiki
Sonobe, Aiko
Shimojo, Nobutake
Kawano, Satoru
author_sort Koyama, Yasuaki
collection PubMed
description We herein report the clinical course of a patient who had a good neurological outcome despite severe anemia, high serum lactate levels, and a long period of time from cardiac arrest (CA) to extracorporeal cardio-pulmonary resuscitation (ECPR) establishment. During the period of resuscitation, the tissue oxygenation index (TOI) values were measured continuously by a near-infrared spectroscopy monitoring device and were kept within the normal range. The TOI seems to reflect cerebral perfusion and the balance between the oxygen supply and demand in the brain during ECPR, thereby predicting the neurological outcome. Continuous TOI monitoring is useful for predicting the neurological outcome during ECPR.
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spelling pubmed-56431732017-10-18 Cerebral Tissue Oxygenation Index Using Near-infrared Spectroscopy during Extracorporeal Cardio-pulmonary Resuscitation Predicted Good Neurological Recovery in a Patient with Acute Severe Anemia Koyama, Yasuaki Mizutani, Taro Marushima, Aiki Sonobe, Aiko Shimojo, Nobutake Kawano, Satoru Intern Med Case Report We herein report the clinical course of a patient who had a good neurological outcome despite severe anemia, high serum lactate levels, and a long period of time from cardiac arrest (CA) to extracorporeal cardio-pulmonary resuscitation (ECPR) establishment. During the period of resuscitation, the tissue oxygenation index (TOI) values were measured continuously by a near-infrared spectroscopy monitoring device and were kept within the normal range. The TOI seems to reflect cerebral perfusion and the balance between the oxygen supply and demand in the brain during ECPR, thereby predicting the neurological outcome. Continuous TOI monitoring is useful for predicting the neurological outcome during ECPR. The Japanese Society of Internal Medicine 2017-08-21 2017-09-15 /pmc/articles/PMC5643173/ /pubmed/28824052 http://dx.doi.org/10.2169/internalmedicine.7826-16 Text en Copyright © 2017 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Koyama, Yasuaki
Mizutani, Taro
Marushima, Aiki
Sonobe, Aiko
Shimojo, Nobutake
Kawano, Satoru
Cerebral Tissue Oxygenation Index Using Near-infrared Spectroscopy during Extracorporeal Cardio-pulmonary Resuscitation Predicted Good Neurological Recovery in a Patient with Acute Severe Anemia
title Cerebral Tissue Oxygenation Index Using Near-infrared Spectroscopy during Extracorporeal Cardio-pulmonary Resuscitation Predicted Good Neurological Recovery in a Patient with Acute Severe Anemia
title_full Cerebral Tissue Oxygenation Index Using Near-infrared Spectroscopy during Extracorporeal Cardio-pulmonary Resuscitation Predicted Good Neurological Recovery in a Patient with Acute Severe Anemia
title_fullStr Cerebral Tissue Oxygenation Index Using Near-infrared Spectroscopy during Extracorporeal Cardio-pulmonary Resuscitation Predicted Good Neurological Recovery in a Patient with Acute Severe Anemia
title_full_unstemmed Cerebral Tissue Oxygenation Index Using Near-infrared Spectroscopy during Extracorporeal Cardio-pulmonary Resuscitation Predicted Good Neurological Recovery in a Patient with Acute Severe Anemia
title_short Cerebral Tissue Oxygenation Index Using Near-infrared Spectroscopy during Extracorporeal Cardio-pulmonary Resuscitation Predicted Good Neurological Recovery in a Patient with Acute Severe Anemia
title_sort cerebral tissue oxygenation index using near-infrared spectroscopy during extracorporeal cardio-pulmonary resuscitation predicted good neurological recovery in a patient with acute severe anemia
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5643173/
https://www.ncbi.nlm.nih.gov/pubmed/28824052
http://dx.doi.org/10.2169/internalmedicine.7826-16
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