Importance of perioperative monitoring of cerebral tissue saturation in elderly patients: an interesting case

dc.contributor.authorTzimas, P.en
dc.contributor.authorLiarmakopoulou, A.en
dc.contributor.authorArnaoutoglou, H.en
dc.contributor.authorPapadopoulos, G.en
dc.date.accessioned2015-11-24T19:11:30Z
dc.date.available2015-11-24T19:11:30Z
dc.identifier.issn1827-1596-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/20934
dc.rightsDefault Licence-
dc.subjectAgeden
dc.subjectBrain Chemistry/*physiologyen
dc.subjectHip Fractures/surgeryen
dc.subjectHumansen
dc.subjectHypoxia, Brain/*diagnosis/prevention & controlen
dc.subjectMaleen
dc.subject*Monitoring, Intraoperativeen
dc.subjectOrthopedic Proceduresen
dc.subjectOxygen Consumption/*physiologyen
dc.subjectSpectroscopy, Near-Infrareden
dc.titleImportance of perioperative monitoring of cerebral tissue saturation in elderly patients: an interesting caseen
heal.abstractThe authors describe the case of an elderly diabetic patient with a hip fracture who developed neurocognitive dysfunction and dysarthria preoperatively. Upon arrival in the operating room, the monitoring of cerebral oxygenation by near-infrared spectroscopy (NIRS) showed cerebral desaturation (44% on the left hemisphere and 46% on the right). Cerebral oximetry values were stabilized during the surgery after administration of crystalloid fluids and vasoconstrictive drugs and were ameliorated significantly after administration of two units of blood. The patient's cerebral saturation was 60% on the left and 58% on the right hemisphere after the end of surgery and he was in normal neurological status. Observations underlined the importance of preoperative evaluation of cerebral tissue oxygenation by non-invasive cerebral NIRS in elderly diabetic patients who develop hypovolemia and anemia due to major fracture.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/20203552-
heal.journalNameMinerva Anestesiolen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2010-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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