Use of near-infrared spectroscopy for control of limb perfusion during venoarterial ECMO treatment. Application and limitations

Werner, T. and Lunz, D. and Philipp, A. and Floerchinger, B. and Graf, B. M. and Zausig, Y. A. (2017) Use of near-infrared spectroscopy for control of limb perfusion during venoarterial ECMO treatment. Application and limitations. ANAESTHESIST, 66 (11). pp. 862-866. ISSN 0003-2417, 1432-055X

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Abstract

Patients undergoing peripheral venoarterial extracorporeal membrane oxygenation have a high risk of lower limb ischemia. In general, regular controls are carried out based on clinical and laboratory parameters in order to quickly detect and treat complications. These controls are challenging due to states of shock, nonpulsatile flow and vasopressor therapy. As additional monitoring the use of near-infrared spectroscopy (NIRS) is described in the literature as being very successful in detecting ischemia. The present article describes the use and possible limitations of NIRS for the diagnostics of peripheral ischemia.

Item Type: Article
Uncontrolled Keywords: EXTRACORPOREAL MEMBRANE-OXYGENATION; LIFE-SUPPORT; COMPLICATIONS; CANNULATION; ISCHEMIA; METAANALYSIS; SURGERY; Perfusion control; Extracorporeal membrane oxygenation; Ischemia; Complications; Limb oxymetry
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Anästhesiologie
Medicine > Lehrstuhl für Herz-, Thorax- und herznahe Gefäßchirurgie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 14 Dec 2018 13:19
Last Modified: 19 Feb 2019 08:27
URI: https://pred.uni-regensburg.de/id/eprint/1923

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