Cerebral oximetry with blood volume index in asystolic pediatric cerebrospinal fluid malfunctioning shunt patients

Thomas J. Abramo; Mark Meredith; Mathew Jaeger; Bradford Schneider; Holli Bagwell; Eleym Ocal; Gregory Albert

doi:10.1016/j.ajem.2014.04.007

Switch to Standard View Switch to Enhanced View

Cerebral oximetry with blood volume index in asystolic pediatric cerebrospinal fluid malfunctioning shunt patients☆☆☆★

Thomas J. Abramo, MD

Department of Pediatrics, Division of Pediatric Emergency Medicine, University of Arkansas College of Medicine, Little Rock, AR

Mark Meredith, MD

Department of Pediatric University of Tennessee Health Science Center, Le Bonheur Children’s Hospital, Memphis, TN

Mathew Jaeger, MD

Bradford Schneider, MD

Holli Bagwell, MD

Department of Pediatrics, Division of Pediatric Emergency Medicine, University of Arkansas College of Medicine, Little Rock, AR

Eleym Ocal, MD

Gregory Albert, MD

Department of Neurosurgery, Division of Pediatric Neurosurgery, University of Arkansas College of Medicine, Little Rock, AR

DOI: http://dx.doi.org/10.1016/j.ajem.2014.04.007

Article Info

Purchase this article (PDF Included)

$31.50 USD (24 hour access)

Subscribe to this title

To view the full text, please login as a subscribed user or purchase a subscription. Click here to view the full text on ScienceDirect.

Fig. 1

A, Cerebral oximetry and BVI graph: 1.875-year–arrested distal malfunctioning shunt patient.

B, Cerebral oximetry and BVI graph: 2.125-year–arrested distal malfunctioning shunt patient.

C, Cerebral oximetry and BVI graph: 3.125-year–arrested distal malfunctioning shunt patient.

D, Cerebral oximetry and BVI graph: 6.5-year–arrested distal malfunctioning shunt patient.

E, Cerebral oximetry and BVI graph: 7.56-year–arrested distal malfunctioning shunt patient.

Fig. 2

A, Cerebral oximetry and BVI graph: 1.72-year–arrested proximal malfunctioning shunt patient.

B, Cerebral oximetry and BVI graph: 2.9-year–arrested proximal malfunctioning shunt patient.

C, Cerebral oximetry and BVI graph: 3.75-year–arrested proximal malfunctioning shunt patient.

D, Cerebral oximetry and BVI graph: 5.6-year–arrested proximal malfunctioning shunt patient.

E, Cerebral oximetry and BVI graph: 6.35-year–arrested proximal malfunctioning shunt patient.

F, Cerebral oximetry and BVI graph: 9.125-year–arrested proximal malfunctioning shunt patient.

G, Cerebral oximetry and BVI graph: 13.5-year–arrested proximal malfunctioning shunt patient.

H, Cerebral oximetry and BVI graph: 16.9-year–arrested proximal malfunctioning shunt patient.

I, Cerebral oximetry and BVI graph: 1.35-year proximal malfunctioning shunt patient with severe bradycardia.

Pediatric cerebrospinal fluid shunt malfunctions can present with varying complaints. The primary cause is elevated intracranial pressure (ICP). Malfunctioning sites are the proximal or distal sites [1-4]. A rare presenting complaint is cardiac arrest. Immediate ICP reduction is the only reversible option for this type of cardiac arrest.

To access this article, please choose from the options below

Log In

Register

Create a new account

Purchase access to this article

$31.50 USD|Online access for 24 hours

Claim Access

If you are a current subscriber with Society Membership or an Account Number, claim your access now.

Subscribe to this title

Purchase a subscription to gain access to this and all other articles in this journal.

Institutional Access

Visit ScienceDirect to see if you have access via your institution.

☆Financial support: Somanetics Corporation (Boulder, CO) provided near-infrared spectroscopy (NIR) machines and limited number of NIR probes used in the study. Company representatives otherwise had no input into the design, execution, data analysis, or preparation of this manuscript.

☆☆The authors have no conflicts of interest to disclose.

★Thomas Abramo and Mark Meredith wrote the first draft of the manuscript, and no honorarium, grant, or other form of payment was given to anyone to produce the manuscript.

Cerebral oximetry with blood volume index in asystolic pediatric cerebrospinal fluid malfunctioning shunt patients☆☆☆★

Correspondence

Correspondence

Article Info

To access this article, please choose from the options below

Log In

Register

Purchase access to this article

Claim Access

Subscribe to this title

Institutional Access

Article Tools

Related Articles