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01-09-2020 | Heart Failure | Case Report

Continuous monitoring of changes in cerebral oxygenation during hemodialysis in a patient with acute congestive heart failure

Authors: Saori Minato, Susumu Ookawara, Kiyonori Ito, Hideyuki Hayasaka, Masaya Kofuji, Takayuki Uchida, Mitsutoshi Shindo, Haruhisa Miyazawa, Hirofumi Shimoyama, Taro Hoshino, Yoshiyuki Morishita

Published in: Journal of Artificial Organs | Issue 3/2020

Abstract

A 71-year-old man undergoing hemodialysis (HD) was admitted to our hospital with congestive heart failure (CHF) and pneumonia. After admission, ultrafiltration with HD was urgently performed because of a lack of respiratory improvement despite the use of noninvasive positive pressure ventilation. During HD, cerebral regional saturation of oxygen (rSO₂) was monitored by INVOS 5100c oxygen saturation monitor (Covidien Japan, Japan) to evaluate changes in tissue oxygenation. At HD initiation, cerebral rSO₂ was very low at 34% under the fraction of inspiratory oxygen (FiO₂) of 0.4. Ultrafiltration was performed at the rate of 0.5 L/h thereafter, cerebral rSO₂ gradually improved even as inhaling oxygen concentration decreased. At the end of HD, cerebral rSO₂ improved at 40% under a FiO₂ of 0.28 as excess body fluid was removed. After pneumonia and CHF improved, he was discharged. Reports of the association between cerebral oxygenation and acute CHF status in patients undergoing HD are limited; therefore, in our experience with this case, cerebral oxygenation deteriorated with the CHF status but was improved by adequate body-fluid management during HD.

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Title: Continuous monitoring of changes in cerebral oxygenation during hemodialysis in a patient with acute congestive heart failure
Authors: Saori Minato
Susumu Ookawara
Kiyonori Ito
Hideyuki Hayasaka
Masaya Kofuji
Takayuki Uchida
Mitsutoshi Shindo
Haruhisa Miyazawa
Hirofumi Shimoyama
Taro Hoshino
Yoshiyuki Morishita
Publication date: 01-09-2020
Publisher: Springer Japan
Keywords: Heart Failure
Pneumonia
Acute Heart Failure
Published in: Journal of Artificial Organs / Issue 3/2020
Print ISSN: 1434-7229
Electronic ISSN: 1619-0904
DOI: https://doi.org/10.1007/s10047-019-01150-2

At a glance: The STEP trials

Springer Medicine

Continuous monitoring of changes in cerebral oxygenation during hemodialysis in a patient with acute congestive heart failure

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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