Year : 2019  |  Volume : 12  |  Issue : 2  |  Page : 169--171

Postoperative cerebral oximetry monitoring helps in early detection of diminished flow in Blalock–Taussig shunt


Abdul Rauf1, Reena Khantwal Joshi2, Neeraj Aggarwal2, Raja Joshi2 
1 Department of Pediatric Intensive Care, Sir Ganga Ram Hospital, New Delhi, India
2 Department of Pediatric Cardiac Sciences, Sir Ganga Ram Hospital, New Delhi, India

Correspondence Address:
Dr. Reena Khantwal Joshi
Department of Pediatric Cardiac Sciences, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi - 110 060
India

Cerebral oximeter is a noninvasive device which provides continuous monitoring of the regional cerebral saturation using near-infrared spectroscopy (NIRS). After gaining popularity as an intraoperative monitoring tool, use of NIRS monitoring has also expanded to postoperative period of congenital heart diseases now. Shunt underflow is a known complication after Blalock–Taussig (BT) shunt, which is conventionally detected by a drop in oxygen saturation and metabolic acidosis. We report a case where cerebral regional saturation monitoring by NIRS helped in early detection of low pulmonary flow state during postoperative period of neonatal BT shunt. We observed that the drop in regional cerebral oxygen saturation preceded fall in peripheral oxygen saturation during shunt underflow.


How to cite this article:
Rauf A, Joshi RK, Aggarwal N, Joshi R. Postoperative cerebral oximetry monitoring helps in early detection of diminished flow in Blalock–Taussig shunt.Ann Pediatr Card 2019;12:169-171


How to cite this URL:
Rauf A, Joshi RK, Aggarwal N, Joshi R. Postoperative cerebral oximetry monitoring helps in early detection of diminished flow in Blalock–Taussig shunt. Ann Pediatr Card [serial online] 2019 [cited 2019 Aug 26 ];12:169-171
Available from: http://www.annalspc.com/article.asp?issn=0974-2069;year=2019;volume=12;issue=2;spage=169;epage=171;aulast=Rauf;type=0