AI Article Synopsis
- Regional cerebral tissue saturation monitoring helps in detecting issues with oxygen supply in brain patients using mechanical heart devices to prevent brain injury.
- A case is reported where an intraparenchymal bleed caused by a middle cerebral artery problem went unnoticed by the monitoring system, resulting in severe brain swelling and high intracranial pressure.
- The text discusses why this monitoring failed in this instance and outlines the limitations of near-infrared spectroscopy devices used for cerebral oximetry.
Article Abstract
Regional cerebral tissue saturation monitoring is frequently used in patients on mechanical cardiac assist devices with the intention to promptly detect critical imbalances between cerebral oxygen delivery and oxygen extraction and ultimately circumvent permanent brain injury. We report a case where an intraparenchymal bleed in the supply zone of the middle cerebral artery-followed by severe hemispherical brain edema, leading to life-threatening intracranial hypertension-escaped cerebral oximetry monitoring using near-infrared spectroscopy. Potential explanations for our observation, as well as the specific limitations of these devices, are discussed.
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| http://dx.doi.org/10.1213/XAA.0000000000000940 | DOI Listing |
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