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Electroencephalogram evaluation of accidental cerebral congestion during unexpected superior vena cava clamping: a
Hirotsugu Miyoshi1, Ryuji Nakamura2, Sachiko Otsuki2
1Department of Anesthesiology and Critical Care, Hiroshima University Hospital, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan. h-miyoshi@hiroshima-u.ac.jp.
Background:
Intraoperative superior vena cava (SVC) clamping causes hypotension and cerebral congestion. There is no established method for monitoring brain function during cerebral congestion. We encountered a case of cerebral congestion caused by unexpected SVC clamping.
Case Presentation:
A 64-year-old man underwent SVC clamping during lung tumor resection. The entropy and electroencephalogram monitoring values decreased with SVC clamping and increased in response to the release of congestion by phlebotomy and SVC declamping.
Conclusions:
Because entropy sharply reflects brain viability during cerebral congestion, it was considered helpful in evaluation of the monitoring of cerebral congestion.
