Role of Multimodal Cerebral Oximetry Monitoring in the Anesthetic Management of a Patient With High-Grade Intracranial Arteriovenous Malformation: A Case Report.

Abstract

Near-infrared spectroscopy (NIRS) is a noninvasive monitor of regional brain tissue oxygenation, and jugular venous oximetry (SjvO2) is a monitor of global cerebral oxygenation. We report the role of intraoperative multimodal monitoring of cerebral oxygenation in the anesthetic management of a patient with grade III intracranial arteriovenous malformation (AVM) presenting for surgical excision. Real-time monitoring of cerebral oxygenation is of much relevance in high-grade AVMs where anesthetic management is focused on neuroprotection and prevention of cerebral hypoxia. Besides, it also helps in prediction, early detection, and judicious management of perioperative complications, which are commonly encountered in high-grade AVMs.

• Authors: Neeraja Ajayan, Ajay Prasad Hrishi, Vijetha Nagendra, Manikandan Sethuraman
• Journal: A&A practice (A A Pract) Vol. 14 Issue 6 Pg. e01192 (Apr 2020) ISSN: 2575-3126 [Electronic] United States
• PMID: 32784313 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anesthetics

Topics

• Anesthetics
• Cerebrovascular Circulation
• Humans
• Intracranial Arteriovenous Malformations (diagnostic imaging, surgery)
• Jugular Veins
• Oximetry