alexa Carotid Body Tumor Excision with In Vivo Optical Spectroscopy (INVOS)Cerebral Regional Oxygen Saturation Monitoring under Anesthesia | OMICS International | Abstract
ISSN: 2329-6925

Journal of Vascular Medicine & Surgery
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Case Report

Carotid Body Tumor Excision with In Vivo Optical Spectroscopy (INVOS)Cerebral Regional Oxygen Saturation Monitoring under Anesthesia

Tay YC1* and Abdullah HR2

1Registrar, Department of Anaesthesiology, Singapore General Hospital, 1 Hospital Drive
Singapore 169608

2Associate Consultant & Director of Preoperative Evaluation Clinic, Department of Anaesthesiology, Singapore General Hospital, 1 Hospital Drive, Singapore 169608

*Corresponding Author:
Tay YC, MBBS, M.Med (Anesthesiology)
Registrar, Department of Anesthesiology
Singapore General Hospital
1 Hospital Drive, Singapore 169608
Tel: +65 81231209
Fax: +65 63266301
E-mail: [email protected]

Received Date: October 15, 2013; Accepted Date: November 16, 2013; Published Date: November 18, 2013

Citation: Tay YC, Abdullah HR (2013) Carotid Body Tumor Excision with In Vivo Optical Spectroscopy (INVOS®) Cerebral Regional Oxygen Saturation Monitoring under Anesthesia. J Vasc Med Surg 1:119 doi:10.4172/2329-6925.1000119

Copyright: © 2013 Tay YC, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Carotid body tumor excisions pose significant morbidity, even mortality due to autonomic dysfunction, anatomical relations and prior radiotherapy, chemotherapy and surgery. Close excision proximity to the carotid artery may potentially compromise cerebral perfusion; hence a real-time monitoring system while the patient is under anaesthesia would be beneficial. Our case report describes the use of the In Vivo Optical Spectroscopy (INVOS®) cerebral oximeter as a surrogate for cerebral perfusion monitoring in a patient who underwent a successful excision of a recurrent carotid body tumor under general anaesthesia with prior history of contralateral carotid body tumor excision. Intraoperative real-time regional oxygen saturation (rSO2) readings were compared to her baseline values and pharmacological agents were titrated accordingly. INVOS® cerebral oximeter provides a real-time, non-invasive monitor of cerebral perfusion especially valuable in conditions with potential cerebral vascular compromise

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