Cerebral Near-Infrared Spectroscopy: A Viable Tool in an Anesthesiologist's Armamentarium for Pediatric Head and Neck Surgeries

Near-infrared spectroscopy (NIRS) is a noninvasive monitor used regularly in pediatric cardiac surgeries to monitor regional cerebral oxygenation (rScO2). A significant intraoperative cerebral desaturation (>20% from baseline) has been reported with poor neurological outcomes. We describe a case...

Full description

Saved in:
Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-02, Vol.16 (2), p.e53592
Main Authors: Ramadurai, Rajasekar, Ravichandrane, Banupriya, Elangobaalan, Surentharraj, Palanisamy, Tamilarasan A
Format: Article
Language:English
Subjects:
Anesthesia
Anesthesiology
Blood pressure
Carotid arteries
Case reports
Children & youth
Fentanyl
Heart surgery
Hemodynamics
Ischemia
Magnetic resonance imaging
Medical personnel
Neck
Neuroblastoma
Oncology
Pediatric Surgery
Pediatrics
Physiology
Postoperative period
Spectrum analysis
Veins & arteries
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Near-infrared spectroscopy (NIRS) is a noninvasive monitor used regularly in pediatric cardiac surgeries to monitor regional cerebral oxygenation (rScO2). A significant intraoperative cerebral desaturation (>20% from baseline) has been reported with poor neurological outcomes. We describe a case of a six-year-old child with carotid sheath neuroblastoma, located at the carotid bifurcation posted for tumor excision. Intraoperative NIRS monitoring revealed only a transient and insignificant (
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.53592