Failure of Regional Cerebral Oximetry in a Polycythemic Patient

Michael S. Robinson D.O., Laurie M. Davies M.D.
Department of Anesthesiology, University of Florida College of Medicine

Introduction: Regional cerebral oximetry is a relatively new monitoring modality that is slowly gaining acceptance in clinical medicine. At our institution it is primarily used for observing trends in regional cerebral oxygen saturation (rSO2) during cardiothoracic surgery. But the modality is also being used in the critical care arena in the evaluation of cerebral perfusion in patients with head injuries.
We present a case of an extremely polycythemic patient who underwent surgery requiring cardiopulmonary bypass monitored by regional cerebral oximetry.

Case Report: The 16-year-old patient had a Tetralogy of Fallot and pulmonary atresia, which had not been corrected because of very hypoplastic pulmonary arteries and numerous aorto-pulmonary vascular anomalies. For palliation, he had undergone previous right modified Blalock-Taussig shunt and aorto-pulmonary central shunt. Over two-to-three months the patient's exercise tolerance diminished to less than 5 minutes of exertion without dyspnea. The patient presented to the operating room with generalized cyanosis, digital clubbing, severe polycythemia (hematocrit 67%) and oxygen saturation by pulse oximetry of 50-60% on room air. The planned surgical procedure was a right ventricular-to-pulmonary artery homograft and ligation of the aorto-pulmonary central shunt.
Standard intraoperative monitoring was initiated with the addition of regional cerebral oximetry (rSO2) (Somanetics Corp INVOS 5100, Troy, MI), transcranial Doppler (Spencer Technologies TCD 100M, Seattle, WA), electroencephalogram (Aspect Corp A 1000, Framingham, MA) and transesophageal echocardiography (Agilent Technologies Sonos 5328, Andover, MA). The cerebral oximetry sensors were placed according to the recommendations of the manufacturer. However, the INVOS monitor reported poor signal quality and would not provide any output data. The regional oxygen saturation sensors, connecting cables and the INVOS cerebral oximeter were all replaced with no change in signal output. The sensors were replaced a second time, again without improvement in cerebral oximeter signal output.
The anesthesia team accepted the nonfunctional cerebral oximeter and proceeded with the case using information from the other monitoring modalities. A baseline hematocrit of 62.9%from an arterial blood gas (ABG) was obtained and the operation proceeded to cardiopulmonary bypass (CPB) without further difficulty.
Upon initiation of CPB the cerebral oximeter immediately began to provide signal output. A repeat ABG was obtained and demonstrated a hematocrit of 44.6%. The cerebral oximeter continued to provide data throughout the operation until the regional oxygen saturation sensors were removed at the end of the case. At no time after CPB was a hematocrit recorded greater than 44.6%.

Discussion: Regional cerebral oximetry is based on the Beer-Lambert law. The Beer-Lambert law uses absorption of photons by a chromophore to determine the concentration of the chromophore. Our initial difficulties in obtaining rSO2 signals, may be due to the high concentrations of chromophores, i.e. oxy- and deoxyhemoglobin in a polycythemic patient in relation to the light output from the oximetry diode. Because regional cerebral oximetry is not currently widely used the discussion will explain the theory of its operation, potential short comings of the modality and provide follow up data about the patient in the case report.

 

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2000 - Cole, Deckinga, Denson, Fuchs, Maples, Naik, Robicsek, R. Zhang

2001 - Denney, Fuchs, Liem, Palacios, Rajasekaran, Rice, Sessions

2002
- Fuchs, Li #1, Li #2, Mayo, Ozcan, Tagalakis,

2003 - Barotti, Barry, Ozcan, Patel, Robinson, Swinney, Tran, van der Heusen , Walters

2004 - Abbasian, Bird, Cahill, Chang, Dahleen, Durret, Horowitz, Perschau, Robinson, Muehlschlegel, Santiago, Velez, Wendling

2005 case reports - Bauernfeind, Cummens, Dagen, Dobija, Yavas

2006 - Book, Chen, Covington, Eisenman, Ficarotta, Hyde, Jordan, Le, Lesko, Moorjani, Muehlschlegel, Seghal, Stine, Tilman