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Faculty of Medical Sciences

Perioperatieve monitoring van cerebrale zuurstofsaturatie d.m.v. NIRS bij kinderen onder algehele anesthesie

Roor, T.L. (2016) Perioperatieve monitoring van cerebrale zuurstofsaturatie d.m.v. NIRS bij kinderen onder algehele anesthesie. thesis, Medicine.

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Abstract

Introduction: Infants who underwent an surgery under general anesthesia show cognitive and/or motoric development problems as they grow older. These development problems are thought to be caused by perioperatieve cerebral hypoxia. To analyse the incidence and risk factors for this hypoxia, this study monitored the perioperatieve cerebral oxygensaturation (cSO2) noninvasively with near infrared spectroscopy (NIRS). Material en methods: Infants undergoing surgery at the age of 0-6 months under general anesthesia were included in this observational study. Cerebral desaturation is defined as cSO2<55%. Patient characteristics, perioperative conduct and events were analysed. Results: 123 infants were included, 25 of them showed cerebral desaturations. The groups with or without desaturations differed significantly in age, weight and ASA-classification. Laparo/thoracotomies were more frequent in the group with desaturations. This group also received more RBC-transfusions, although the Hb-value was above the transfusiontrigger. Conclusion: Lower (birth)weights, higher ASA-classifications, (ex)prematurity, laparo/thoractomies and and lower Hb-values are possible risk factors for cerebral desaturation. More patients are to be included in this study to indentify a good preoperative risk prediction for these infants.

Item Type: Thesis (Thesis)
Supervisor name: Facultair begeleider: and Absalom, Prof. Dr. A.R. and Tweede begeleider: and Brouwer-Bergsma, Drs. T.M. and Afdeling Anesthesiologie, Universitair Medisch Centrum Groni
Faculty: Medical Sciences
Date Deposited: 25 Jun 2020 10:45
Last Modified: 25 Jun 2020 10:45
URI: https://umcg.studenttheses.ub.rug.nl/id/eprint/666

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