Higher cerebral oxygen saturation may provide higher urinary output during continuous regional cerebral perfusion
2008

Higher Cerebral Oxygen Saturation and Urinary Output in Pediatric Surgery

Sample size: 12 publication Evidence: moderate

Author Information

Author(s): Miyamoto Takashi, Miyaji Kagami, Okamoto Hirotsugu, Kohira Satoshi, Tomoyasu Takahiro, Inoue Nobuyuki, Ohara Kuniyoshi

Primary Institution: Kitasato University School of Medicine

Hypothesis

Higher cerebral oxygen saturation during regional cerebral perfusion is correlated with urinary output.

Conclusion

Higher cerebral oxygenation may provide higher urinary output due to higher renal blood flow through collateral circulation.

Supporting Evidence

  • Patients with higher cerebral oxygen saturation had significantly higher urinary output.
  • A higher dose of Chlorpromazine was used in patients with higher cerebral oxygen saturation.
  • The study included a diverse group of patients undergoing aortic arch repair.

Takeaway

If the brain gets more oxygen during surgery, the kidneys can work better and make more urine.

Methodology

The study analyzed urinary output and cerebral oxygen saturation in 12 patients who underwent aortic arch repair with regional cerebral perfusion.

Potential Biases

Potential biases due to the observational nature of the study.

Limitations

The study was retrospective and had a small sample size.

Participant Demographics

Patients aged 3 to 61 days, weighing 2.6 to 3.4 kg.

Statistical Information

P-Value

0.03

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1749-8090-3-58

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