Neuroanesthesia & neurocritical care

Effect of Extracerebral Contamination on Near-infrared Spectroscopy as Revealed during Organ Donation: A Prospective Observational Study in Brain-dead Organ Donors

AnesthesiologyPublished Prospective observational study

Authors' conclusion

The abrupt end of extracerebral contamination, caused by aortic clamping, affected both NIRS monitors to a considerable extent. Both the INVOS and the ForeSight monitor were unable to detect severe cerebral hypoxia or anoxia under conditions of normal extracerebral oxygenation.

Study context

Population
Brain-dead adults undergoing organ donation, rScO2 measured bifrontally
Participants
12 organ donors
Exposure
INVOS vs ForeSight near-infrared spectroscopy (NIRS) monitor
Outcome
Extracerebral contamination quantified by the absolute decrease in rScO2 after aortic clamping
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Absolute decrease in rScO2 after aortic clamping

P < 0.001

Observational data: associations, not effects.

Secondary outcomes

rScO2 before aortic clamping · near-normal values

rScO2 after aortic clamping · 30 min after clamping

rScO2 after aortic clamping — rScO2 significantly dropped after clamping
P < 0.001

Original publication

Effect of Extracerebral Contamination on Near-infrared Spectroscopy as Revealed during Organ Donation: A Prospective Observational Study in Brain-dead Organ Donors. Anesthesiology. Published 8 November 2023. doi:10.1097/aln.0000000000004828

Composed by AI from the published abstract and checked against it. How Briefs are made →

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