Application of cerebral oximetry for a parturient with Takayasu's arteritis undergoing cesarean section: a case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 158-162, 2013.
Artigo
em Inglês
| WPRIM
| ID: wpr-50747
ABSTRACT
Takayasu's arteritis (TA) is a chronic inflammatory disease involving the aorta. Because TA sometimes involves cerebral arteries, anesthetic debates focus on cerebral monitoring. There is limited evidence as to which cerebral monitoring method is most adequate. Furthermore, there is insufficient evidence to determine which anesthetic technique is better for TA parturients. We experienced the case of a TA parturient who developed transient cerebral ischemia during cesarean section. The patient's TA involved her cerebral arteries, and her regional cerebral oxygen saturation (rSO2) was lower in the left side than in the right side. She complained of speech impairment, tinnitus, and stiffness of the posterior neck when the rSO2 levels dropped. The FloTrac/Vigileo(TM) system did not correlate with clinical symptoms, but the cerebral oximeter displayed the low oxygen saturation. We recommend the cerebral oximetry for cerebral monitoring in TA parturients who undergo cesarean sections, especially in hemodynamically unstable patients under regional anesthesia or unconscious patients under general anesthesia.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Aorta
/
Oxigênio
/
Zumbido
/
Inconsciente Psicológico
/
Oximetria
/
Artérias Cerebrais
/
Ataque Isquêmico Transitório
/
Cesárea
/
Arterite de Takayasu
/
Espectroscopia de Luz Próxima ao Infravermelho
Limite:
Feminino
/
Humanos
/
Gravidez
Idioma:
Inglês
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
2013
Tipo de documento:
Artigo
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