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Chapter 3 - Cerebral Oximetry

Published online by Cambridge University Press:  28 April 2020

By
Benjamin Salter  and
Elvera Baron
Edited by
Andrew B. Leibowitz  and
Suzan Uysal
Andrew B. Leibowitz
Affiliation:
Icahn School of Medicine at Mount Sinai
Suzan Uysal
Affiliation:
Icahn School of Medicine at Mount Sinai
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Summary

The risk of perioperative neurologic injury has decreased over the years, yet it remains a significant clinical problem that may result in severe debilitation and death. Noninvasive intraoperative monitoring of regional cerebral oxygen saturation (rScO2) by near infrared spectroscopy (NIRS) is used in this vein to ensure an adequate balance between cerebral oxygen supply and demand. NIRS technology, already employed in cardiac surgical patients, is increasingly used in orthopedic, vascular, and neurosurgical procedures. Furthermore, NIRS usage in other clinical settings – including trauma, critical care, and cardiopulmonary resuscitation – is also being investigated. This chapter reviews the basic principles and interpretation of cerebral oximetry, research studies that examine its efficacy, and novel uses of this technology.

Keywords

OximetryinfraredspectroscopyanesthesiacerebralperioperativeNIRS
Type
Chapter
Information
Modern Monitoring in Anesthesiology and Perioperative Care , pp. 20 - 29
Publisher: Cambridge University Press
Print publication year: 2020

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