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Date of download: 6/22/2016 Copyright © 2016 SPIE. All rights reserved. Changes in cerebral oxygenation and middle cerebral artery blood flow during carotid.

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Presentation on theme: "Date of download: 6/22/2016 Copyright © 2016 SPIE. All rights reserved. Changes in cerebral oxygenation and middle cerebral artery blood flow during carotid."— Presentation transcript:

1 Date of download: 6/22/2016 Copyright © 2016 SPIE. All rights reserved. Changes in cerebral oxygenation and middle cerebral artery blood flow during carotid artery compression. Probes for near-infrared spectroscopy (NIRS) and transcranial Doppler ultrasonography (TCD) were attached on the same side (NIRS numbers correspond to TCD numbers). Figure Legend: From: Brain oxymetry in the operating room: current status and future directions with particular regard to cytochrome oxidase J. Biomed. Opt. 2008;13(3):033001-033001-14. doi:10.1117/1.2940583

2 Date of download: 6/22/2016 Copyright © 2016 SPIE. All rights reserved. Changes in cerebral oxygenation and middle cerebral artery blood flow during carotid artery compression in a patient with anterior communicating artery occlusion. Probes for near-infrared spectroscopy (NIRS) and transcranial Doppler ultrasonography (TCD) were attached on the same side (NIRS numbers correspond to TCD numbers). Figure Legend: From: Brain oxymetry in the operating room: current status and future directions with particular regard to cytochrome oxidase J. Biomed. Opt. 2008;13(3):033001-033001-14. doi:10.1117/1.2940583

3 Date of download: 6/22/2016 Copyright © 2016 SPIE. All rights reserved. Relative changes in cerebral hemoglobin oxygenation and the redox state of cytochrome oxidase in dog brain measured by NIRS during hemodilution under cardiopulmonary bypass (CPB). The relative concentrations of [oxy-Hb] and [total-Hb] decreased significantly during hemodilution, while cytochrome oxidase recorded no change. Full-scale value of the redox state of cytochrome oxidase was determined by aerobic (100% O2)-to-anaerobic (100% N2) transition using a membrane oxygenator. Figure Legend: From: Brain oxymetry in the operating room: current status and future directions with particular regard to cytochrome oxidase J. Biomed. Opt. 2008;13(3):033001-033001-14. doi:10.1117/1.2940583

4 Date of download: 6/22/2016 Copyright © 2016 SPIE. All rights reserved. Relationship between blood hematocrit (Ht) values and relative changes in concentrations of (a) [total-Hb] and (b) cytochrome oxidase in dog brain (as measured by NIRS) during hemodilution. The relative concentration of [total-Hb] showed a strong positive correlation with blood Ht values. However, there was no correlation between the cytochrome oxidase signal and Ht values. Full- scale value of the redox state of cytochrome oxidase was determined by aerobic (100% O2)-to-anaerobic (100% N2) transition using a membrane oxygenator. Figure Legend: From: Brain oxymetry in the operating room: current status and future directions with particular regard to cytochrome oxidase J. Biomed. Opt. 2008;13(3):033001-033001-14. doi:10.1117/1.2940583

5 Date of download: 6/22/2016 Copyright © 2016 SPIE. All rights reserved. Changes in intracerebral oxygenation during extracorporeal circulation with separate cerebral perfusion in a patient with dissecting aortic aneurysm. SjvO2 is the jugular venous oxygen saturation; BP is blood pressure; temp is temperature; NPT is the nasopharyngeal temperature; and RT is rectal temperature. Figure Legend: From: Brain oxymetry in the operating room: current status and future directions with particular regard to cytochrome oxidase J. Biomed. Opt. 2008;13(3):033001-033001-14. doi:10.1117/1.2940583

6 Date of download: 6/22/2016 Copyright © 2016 SPIE. All rights reserved. Diagrammatic representation of the three different patterns of change in the cerebral oxygen index ([oxy-Hb] minus [deoxy-Hb]), and in cytochrome oxidase observed during surgery. Each panel represents the period from before surgery to the end of anesthesia. Figure Legend: From: Brain oxymetry in the operating room: current status and future directions with particular regard to cytochrome oxidase J. Biomed. Opt. 2008;13(3):033001-033001-14. doi:10.1117/1.2940583

7 Date of download: 6/22/2016 Copyright © 2016 SPIE. All rights reserved. Changes in [oxy-Hb], [deoxy-Hb], and cytochrome oxidase (measured by NIRS) during cardiopulmonary bypass (CPB) in surgery to repair the descending aorta of a 59-year-old male. The cerebral oxygen index ([oxy-Hb] minus [deoxy-Hb]) showed a marked and prolonged reduction (type Z), and the redox state of cytochrome oxidase remained at the initial level throughout the operation (type A). Upward deflections indicate an increase in the relative concentrations of [oxy-Hb] and [deoxy-Hb], and oxidation of cytochrome oxidase. Figure Legend: From: Brain oxymetry in the operating room: current status and future directions with particular regard to cytochrome oxidase J. Biomed. Opt. 2008;13(3):033001-033001-14. doi:10.1117/1.2940583

8 Date of download: 6/22/2016 Copyright © 2016 SPIE. All rights reserved. Changes in [oxy-Hb], [deoxy-Hb], and cytochrome oxidase (measured by NIRS) during cardiopulmonary bypass (CPB) in surgery to repair the ascending aorta of a 74-year-old male. The cerebral oxygen index ([oxy-Hb] minus [deoxy-Hb]) showed a marked and prolonged increase (type X), while the cytochrome oxidase redox state showed a temporary reduction that returned to the initial level near the end of the operation (type B). Upward deflections indicate an increase in the relative concentrations of [oxy-Hb] and [deoxy-Hb], and oxidation of cytochrome oxidase. Figure Legend: From: Brain oxymetry in the operating room: current status and future directions with particular regard to cytochrome oxidase J. Biomed. Opt. 2008;13(3):033001-033001-14. doi:10.1117/1.2940583

9 Date of download: 6/22/2016 Copyright © 2016 SPIE. All rights reserved. Changes in [oxy-Hb], [deoxy-Hb], and cytochrome oxidase (measured by NIRS) during cardiopulmonary bypass (CPB) in surgery to repair the aortic arch of a 63-year-old female. The cerebral oxygen index ([oxy-Hb] minus [deoxy-Hb]) showed a marked and prolonged reduction (type Z), while the redox state of cytochrome oxidase showed a marked and prolonged reduction that did not return to the control level during the operation (type C). Upward deflections indicate an increase in the relative concentrations of [oxy-Hb] and [deoxy-Hb], and oxidation of cytochrome oxidase. Figure Legend: From: Brain oxymetry in the operating room: current status and future directions with particular regard to cytochrome oxidase J. Biomed. Opt. 2008;13(3):033001-033001-14. doi:10.1117/1.2940583

10 Date of download: 6/22/2016 Copyright © 2016 SPIE. All rights reserved. Changes in cytochrome oxidase, oxy- Hb, SjvO2, and blood pressure in a 43-year-old male who underwent cardiopulmonary resuscitation three days prior, and was diagnosed as brain dead two days later. SjvO2 is jugular venous oxygen saturation; and BP is blood pressure. Figure Legend: From: Brain oxymetry in the operating room: current status and future directions with particular regard to cytochrome oxidase J. Biomed. Opt. 2008;13(3):033001-033001-14. doi:10.1117/1.2940583

11 Date of download: 6/22/2016 Copyright © 2016 SPIE. All rights reserved. Changes in the redox state of cytochrome oxidase (a) during and (b) after surgery without cardiopulmonary bypass to repair the descending aorta of an 18-year-old male patient. (i): massive hemorrhage; (ii): ventricular tachycardia and fibrillation; (iii): cardiac arrest; (1): infusion of D-Mannitol (60g); (2): infusion of glyceol (200ml); mild hypothermia: body temperature was kept at 32°C. Figure Legend: From: Brain oxymetry in the operating room: current status and future directions with particular regard to cytochrome oxidase J. Biomed. Opt. 2008;13(3):033001-033001-14. doi:10.1117/1.2940583


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