Sustained erroneous near-infrared cerebral oxygen saturation in alert icteric patient with vanishing bile duct syndrome during and after liver transplantation: A case report
Anesthesia and Pain Medicine
; : 63-66, 2019.
Article
em En
| WPRIM
| ID: wpr-719401
Biblioteca responsável:
WPRO
ABSTRACT
Monitoring cerebral oxygenation using a near infrared spectroscopy (NIRS) device is useful for estimating cerebral hypoperfusion and is available during liver transplantation (LT). However, high serum bilirubin concentration can interfere with NIRS because bilirubin absorbs near infrared light. We report a patient who underwent LT with a diagnosis of vanishing bile duct syndrome, whose regional cerebral oxygen saturation (rSO₂) remained below 15% even with alert mental status and SpO2₂ value of 99%. The rSO₂ values were almost fixed at the lowest measurable level throughout the intra- and postoperative period. We report a case of erroneously low rSO₂ values during the perioperative period in a liver transplant recipient which might be attributable to skin pigmentation rather than higher serum bilirubin concentration.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Oxigênio
/
Período Pós-Operatório
/
Análise Espectral
/
Bile
/
Ductos Biliares
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Bilirrubina
/
Pigmentação da Pele
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Hipóxia Encefálica
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Transplante de Fígado
/
Diagnóstico
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
Idioma:
En
Revista:
Anesthesia and Pain Medicine
Ano de publicação:
2019
Tipo de documento:
Article