PDF(Pubmed)
Abstract：
Monitoring the oxygenation status is crucial during general anesthesia to ensure patient safety. Although noninvasive pulse oximetry is commonly used to monitor percutaneous oxygen saturation (SpO2), it may not accurately reflect changes in oxygen partial pressure when the latter is excessively high or low. The oxygen reserve index (ORi) provides real-time information about the oxygen reserve status.
We present a case of successful management of subglottic stenosis using balloon bronchoscopy in an infant with a left ventricular assist device implantation under ORi monitoring to predict hypoxemia during the surgical procedure.
Utilizing ORi monitoring during anesthesia for procedures involving apnea in critically ill infants can help predict impending desaturation before a drop in SpO2 occurs, allowing anesthesiologists to effectively anticipate and manage the apnea period. Continuous ORi monitoring offers valuable insights during surgical procedures, especially in infants with compromised respiratory and cardiovascular functions.
We present a case of successful management of subglottic stenosis using balloon bronchoscopy in an infant with a left ventricular assist device implantation under ORi monitoring to predict hypoxemia during the surgical procedure.
Utilizing ORi monitoring during anesthesia for procedures involving apnea in critically ill infants can help predict impending desaturation before a drop in SpO2 occurs, allowing anesthesiologists to effectively anticipate and manage the apnea period. Continuous ORi monitoring offers valuable insights during surgical procedures, especially in infants with compromised respiratory and cardiovascular functions.
摘要：
■在全身麻醉期间监测氧合状态对于确保患者安全至关重要。尽管无创脉搏血氧饱和度通常用于监测经皮氧饱和度（SpO2），当氧分压过高或过低时，它可能无法准确反映氧分压的变化。氧储备指数(ORi)提供关于氧储备状态的实时信息。
■我们介绍了一例在ORi监测下植入左心室辅助装置（LVAD）的婴儿中使用球囊支气管镜成功治疗声门下狭窄的案例，以预测手术过程中的低氧血症。
■在危重病婴儿进行涉及呼吸暂停的麻醉过程中使用ORi监测可以帮助在SpO2下降之前预测即将发生的去饱和，允许麻醉师有效地预测和管理呼吸暂停期。持续的ORi监测在手术过程中提供了宝贵的见解，尤其是呼吸和心血管功能受损的婴儿。
■我们介绍了一例在ORi监测下植入左心室辅助装置（LVAD）的婴儿中使用球囊支气管镜成功治疗声门下狭窄的案例，以预测手术过程中的低氧血症。
■在危重病婴儿进行涉及呼吸暂停的麻醉过程中使用ORi监测可以帮助在SpO2下降之前预测即将发生的去饱和，允许麻醉师有效地预测和管理呼吸暂停期。持续的ORi监测在手术过程中提供了宝贵的见解，尤其是呼吸和心血管功能受损的婴儿。
