MECHANISM OF INJURY, ASSOCIATED OUTCOME AND INTERVENTION
Learn more about cannula misplacement causing cerebral desaturation:
Mechanism of Injury
Misplacement of cerebral perfusion cannula occurs more frequently than clinicians may be aware. Without continuous monitoring of cerebral regional oxygen saturation, there may be no mechanism to diagnose it.([FOOTNOTE=Rubio A, Hakami L, Munch F, Tandler R, Harig F, Weyand M. Noninvasive control of adequate cerebral oxygenation during low-flow antegrade selective cerebral perfusion on adults and infants in the aortic arch surgery. J Card Surg. 2008;23(5):474-479.],[ANCHOR=View Abstract],[LINK=/content/mitg/websites/languagemasters/emea/en-gb/support/clinical-evidence.html?id=297660])
In 35 consecutive patients undergoing surgical repair of aortic arch aneurysm, cerebral oximetry detected acute cerebral desaturation due cannula malposition in 11.4% of patients. Cannula malposition was confirmed via orbital ultrasound.([FOOTNOTE=Orihashi K, Sueda T, Okada K, Imai K. Malposition of selective cerebral perfusion catheter is not a rare event. European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery. 2005;27(4):644-648.],[ANCHOR=View Abstract],[LINK=/content/mitg/websites/languagemasters/emea/en-gb/support/clinical-evidence.html?id=883086])
In patient undergoing aortic arch surgery, Rubio et al determined that incorrect placement of the arterial cannula was correlated with cerebral desaturation.1
Associated Outcome
Cannula malposition, if undetected, may lead to cerebral ischemia and potentially irreversible brain damage.2
Intervention
% of all interventions([FOOTNOTE=Deschamps A, Lambert J, Couture P, et al. Reversal of decreases in cerebral saturation in high-risk cardiac surgery. Journal of cardiothoracic and vascular anesthesia. 2013;27(6):1260-1266.],[ANCHOR=View Abstract],[LINK=/content/mitg/websites/languagemasters/emea/en-gb/support/clinical-evidence.html?id=805152])
Reposition Cannula
6.4
MECHANISM OF INJURY, ASSOCIATED OUTCOME AND INTERVENTION
Learn more about cannula misplacement causing cerebral desaturation:
Mechanism of Injury
Misplacement of cerebral perfusion cannula occurs more frequently than clinicians may be aware. Without continuous monitoring of cerebral regional oxygen saturation, there may be no mechanism to diagnose it.([FOOTNOTE=Rubio A, Hakami L, Munch F, Tandler R, Harig F, Weyand M. Noninvasive control of adequate cerebral oxygenation during low-flow antegrade selective cerebral perfusion on adults and infants in the aortic arch surgery. J Card Surg. 2008;23(5):474-479.],[ANCHOR=View Abstract],[LINK=/content/mitg/websites/languagemasters/emea/en-gb/support/clinical-evidence.html?id=297660])
In 35 consecutive patients undergoing surgical repair of aortic arch aneurysm, cerebral oximetry detected acute cerebral desaturation due cannula malposition in 11.4% of patients. Cannula malposition was confirmed via orbital ultrasound.([FOOTNOTE=Orihashi K, Sueda T, Okada K, Imai K. Malposition of selective cerebral perfusion catheter is not a rare event. European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery. 2005;27(4):644-648.],[ANCHOR=View Abstract],[LINK=/content/mitg/websites/languagemasters/emea/en-gb/support/clinical-evidence.html?id=883086])
In patient undergoing aortic arch surgery, Rubio et al determined that incorrect placement of the arterial cannula was correlated with cerebral desaturation.1
Associated Outcome
Cannula malposition, if undetected, may lead to cerebral ischemia and potentially irreversible brain damage.2
Intervention
% of all interventions([FOOTNOTE=Deschamps A, Lambert J, Couture P, et al. Reversal of decreases in cerebral saturation in high-risk cardiac surgery. Journal of cardiothoracic and vascular anesthesia. 2013;27(6):1260-1266.],[ANCHOR=View Abstract],[LINK=/content/mitg/websites/languagemasters/emea/en-gb/support/clinical-evidence.html?id=805152])
