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Guidelines for the use of cerebral oximetry by near-infrared spectroscopy in cardiovascular anesthesia: a report by the cerebrospinal Division of the Academic Committee of the Japanese Society of Cardiovascular Anesthesiologists (JSCVA)

  • Kenji YoshitaniEmail author
  • Masahiko Kawaguchi
  • Kazuyoshi Ishida
  • Kengo Maekawa
  • Hiroshi Miyawaki
  • Satoshi Tanaka
  • Hiroyuki Uchino
  • Manabu Kakinohana
  • Yasuhiro Koide
  • Miyuki Yokota
  • Hirotsugu Okamoto
  • Minoru Nomura
Guideline
  • 31 Downloads

Abstract

Cerebral Oximetry by Near-infrared Spectroscopy (NIRS) has been used in cardiovascular anesthesia, but there was no guideline of regional cerebral oxygen saturation measured by cerebral oximetry by NIRS. This guideline provides recommendations applicable to patients at a risk of developing cerebral ischemia in cardiovascular surgery. Guidelines are intended to define practices meeting the needs of patients in most, but not all, circumstances, and should not replace clinical judgment. The Japanese Society of Cardiovascular Anesthesiologists (JSCVA) Task Force on Guidelines make an effort to ensure that the guideline writing committee contains broad views in using cerebral oximetry. Adherence to recommendations could be enhanced by shared decision making between healthcare providers and patients. This guideline was focused on cerebral oximetry of pediatric and adult cardiovascular disease. We hope this guideline would play an important role in using cerebral oximetry by measured NIRS.

Keywords

Near-infrared spectroscopy Cardiac surgery Cerebral oximeter 

Abbreviations

ACP

Antegrade cerebral perfusion

AUC

Area under the curve

CABG

Coronary artery bypass grafting

CEA

Carotid endarterectomy

CHS

Cerebral hyperperfusion syndrome

DHCA

Deep hypothermic circulatory arrest

ICG

Indocyanine green

JSCVA

Japanese Society of Cardiovascular Anesthesiologists

LED

Light emitting diode

MBL

Modified Beer–Lambert

MRI

Magnetic resonance imaging

NIRS

Near-infrared spectroscopy

POCD

Postoperative cognitive dysfunction

RCP

Retrograde cerebral perfusion

rSO2

Regional cerebral oxygen saturation

SCP

Selective cerebral perfusion

SEP

Somatosensory evoked potential

SPECT

Single photon emission computed tomography

SRS

Spatially resolved spectroscopy

SSEP

Somatosensory evoked potential

TAVR

Transcatheter aortic valve replacement

TCD

Transcranial Doppler

TEVAR

Thoracic endovascular aortic repair

TOI

Tissue oxygenation index

TRS

Time-resolved spectroscopy

Notes

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Copyright information

© Japanese Society of Anesthesiologists 2019

Authors and Affiliations

  • Kenji Yoshitani
    • 1
    Email author
  • Masahiko Kawaguchi
    • 2
  • Kazuyoshi Ishida
    • 3
  • Kengo Maekawa
    • 4
  • Hiroshi Miyawaki
    • 5
  • Satoshi Tanaka
    • 6
  • Hiroyuki Uchino
    • 7
  • Manabu Kakinohana
    • 8
  • Yasuhiro Koide
    • 9
  • Miyuki Yokota
    • 10
  • Hirotsugu Okamoto
    • 11
  • Minoru Nomura
    • 12
  1. 1.Department of AnesthesiologyNational Cerebral Cardiovascular CenterSuitaJapan
  2. 2.Department of AnesthesiologyNara Medical UniversityKashiharaJapan
  3. 3.Department of AnesthesiologyYamaguchi University Graduate School of MedicineUbeJapan
  4. 4.Department of AnesthesiologyKumamoto Chuo HospitalKumamotoJapan
  5. 5.Department of Anesthesiology and Intensive Care MedicineKokura Memorial HospitalKitakyushuJapan
  6. 6.Department of Anesthesiology and ResuscitologyShinshu University School of MedicineMatsumotoJapan
  7. 7.Department of AnesthesiologyTokyo Medical UniversityTokyoJapan
  8. 8.Department of Anesthesiology, Graduate School of MedicineUniversity of RyukyuNishiharaJapan
  9. 9.Department of AnesthesiologyShonan Kamakura General HospitalKamakuraJapan
  10. 10.Department of AnesthesiologyCancer Institute Hospital of Japanese Foundation of Cancer ResearchTokyoJapan
  11. 11.Department of AnesthesiologyKitasato University School of MedicineTokyoJapan
  12. 12.Department of AnesthesiologyTokyo Women’s Medical UniversityTokyoJapan

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