Use of Cerebral Oximetry in Anemic Patient

Year 2024, , 152 - 155, 28.07.2024

Hatice Selçuk Kuşderci , Sevda Akdeniz

https://doi.org/10.56766/ntms.1410287

Abstract

Anemia increases the duration of hospital stay, costs, mortality, and morbidity. It is a serious health problem commonly seen in both perioperative and critical care patients. The primary purpose of blood is to transport oxygen to cells for the realization of energy-producing aerobic metabolism. Near-Infrared Spectroscopy (NIRS) technique is a non-invasive monitoring method that assesses average regional tissue oxygenation. The cerebral oximeter was placed bilaterally on the frontal cortex and measured near the transcutaneous membrane. It is believed that NIRS monitoring will be an effective key in resolving the dilemma of anemia and transfusion in patients by detecting tissue oxygenation disorders. Clinical studies are required for this. In this article, the connection between NIRS and anemia will be discussed.

Keywords

Cerebral oximeter, anemia, tissue oxygenation

References

• 1. McLean E, Cogswell M, Egli I, Wojdyla D, De Benoist BJPhn. Worldwide prevalence of anaemia, WHO vitamin and mineral nutrition information system. Public Health Nutr. 1993–2005. 2009; 12(4):444-54
• 2. Api O, Bayer F, Akıl A, et al. İstanbul’da bir eğitim ve araştırma hastanesine başvuran gebelerde anemi prevalansını etkileyen etyolojik ve demografik faktörler. Perinat J. 2009;17(1):28-33.
• 3. Goodnough LT, Levy JH, Murphy MFJTL. Concepts of blood transfusion in adults. Lancet. 2013;381(9880):1845-54.
• 4. Tezcan B, Erdoğan NM, Erdemli ÖJAÜSBD. Transfüzyon ikileminin çözümü: Doku oksijenasyonu ve kritik hemoglobin. AUHSJ. 2015;(1):7-12.
• 5. Çelik EC, Çiftçi BJJoIFoM. Serebral oksimetre ve anestezi altında uygulama alanları. J Ist Faculty Med. 2018;81(1):33-36.
• 6. Kumar AJCCjom. Perioperative management of anemia: limits of blood transfusion and alternatives to it. Cleve Clin J Med. 2009;76(4):S112.
• 7. Torella F, Haynes S, McCollum CJVs. Cerebral and peripheral near‐infrared spectroscopy: an alternative transfusion trigger? Vox Sang. 2002; 83(3):254-257.
• 8. Arıtürk C. Efficacy of near-infrared spectrometry for monitoring the cerebral effects of severe dilutional anemia. HSF. 2014:293.
• 9. Musallam KM, Tamim HM, Richards T, et al. Preoperative anaemia and postoperative outcomes in non-cardiac surgery: a retrospective cohort study. Lancet. 2011; 378(9800):1396-407.
• 10. Hare GM, Freedman J, Mazer CDJCJoAJcda. risks of anemia and related management strategies: can perioperative blood management improve patient safety? Can J Anaesth. 2013; 2(60):168-75.
• 11. Kulier A, Levin J, Moser R, et al. Impact of preoperative anemia on outcome in patients undergoing coronary artery bypass graft surgery. Circ. 2007; 116(5):471-79.
• 12. Sabuncu Ü, Özkök A. Role of the cerebral oxygen saturation monitorization to determine the regional tissue hypoxia. GKDA Derg. 2016; (22(3)):125-27.
• 13. van Hoften JC, Verhagen EA, Keating P, ter Horst HJ, Bos AFJAoDiC-F, Edition N. Cerebral tissue oxygen saturation and extraction in preterm infants before and after blood transfusion. Arch Dis Child Fetal Neonatal Ed. 2010; 95(5):F352-F358.
• 14. Mintzer J, Parvez B, Chelala M, Alpan G, LaGamma EJJon-pm. Monitoring regional tissue oxygen extraction in neonates< 1250 g helps identify transfusion thresholds independent of hematocrit. JNPM. 2014; 7(2):89-100.
• 15. Liu L, Qiang Z, Zhang J, et al. Effect of hemoglobin content on cerebral oxygen saturation during surgery for scoliosis in pediatric patients. BMC Anesthesiol. 2021; 21(1):165.