Sustained erroneous near-infrared cerebral oxygen saturation in alert icteric patient with vanishing bile duct syndrome during and after liver transplantation - A case report -Sustained erroneous near-infrared cerebral oxygen saturation in alert icteric patient with vanishing bile duct syndrome during and after liver transplantation - A case report -
- Other Titles
- Sustained erroneous near-infrared cerebral oxygen saturation in alert icteric patient with vanishing bile duct syndrome during and after liver transplantation - A case report -
- Authors
- 김상현; 정양훈; 이소정; 구본성; 조아나; 이미순; 박준우
- Issue Date
- 2019
- Publisher
- 대한마취통증의학회
- Keywords
- Bilirubin; Brain hypoxia; Hyperbilirubinemia; Liver transplantation; Nearinfrared spectroscopy; Oxymetry.
- Citation
- Anesthesia and Pain Medicine, v.14, no.1, pp 63 - 66
- Pages
- 4
- Journal Title
- Anesthesia and Pain Medicine
- Volume
- 14
- Number
- 1
- Start Page
- 63
- End Page
- 66
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/5289
- DOI
- 10.17085/apm.2019.14.1.63
- ISSN
- 1975-5171
2383-7977
- 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 SpO2 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.
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Collections - College of Medicine > Department of Anesthesiology > 1. Journal Articles
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