Erişkin Kalp Cerrahisinde Ekstrakorporeal Dolaşım Sırasında NIRS Yöntemi ile Hepatik ve Renal somatik Oksijen Saturasyonu Takibi Anlamlı mı?

Authors : Fevzi Toraman, Serpil Ustalar Özgen, Cem Aritürk, Julide Sayin, Esin Erkek, Pınar Güçlü, Murat Ökten, Ümit Güllü, Şahin Şenay, Murat Burak Tektürk, Hasan Karabulut, Cem Alhan

Pages : 164-169

View : 36 | Download : 13

Publication Date : 2012-09-01

Article Type : Research

Abstract :Aim: This study was performed to evaluate the effects of hepatic and renal oxygen saturation calculation on the outcome parameters in the adult cardiac surgery. Patients and Methods: Eighty-eight open heart surgery patients were admitted to the study. They had undergone open heart surgery under routine protocol of our clinic.In addition to routine protocol; the nearest localization of the liver and right kidney to the skin was marked with USG, preoperatively. In the operation room the NIRS probes were placed, the saturation measurements were noted before induction T1 , after induction T2 , in the 10th min. of extracorporeal circulation ECS T3 , in the 20th min. of ECS T4 , after rewarming T5 , at the end of ECS T6 as well as pH, pCO2, pO2, lactate, mean arterial pressure/pump pressure and heart rate measurements. Creatinine, urea and ALT-AST values were evaluated in the preoperative day and postoperative day 2 and 4. The results were compared with Pearson correlation. Results: Hepatic and renal saturation levels were in concordance with pO2 levels Pearson correlation p
Keywords : somatic oxygen saturation, extracorporeal circulation, near infrared spectroscopy, adult open heart surgery