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I used the FORE-SIGHT cerebral oximeter, the other day on a patient with documented carotid disease. I watched the monitor closely for changes as the changes were made while on bypass (Q, pressure, sweep gas, temperature, cardiac index, X-clamping, cardioplegia, and so forth).
It is a sensitive device, and reflects some changes in parameters very quickly (Q was the most impressive- where as the surprise of the day was- perfusion pressure seemed to have little impact- perhaps due to occlusive carotid disease).
Potential applications are limitless but the question remains- just because you can see an ischemic event occurring- what can you do to mediate and remedy it? More rhetorical and food for thought, as there are many obvious answers and positions that can be taken.
CAS Medical Systems, Inc.
44 East Industrial Road
Branford, CT 06405
Direct: (203) 745-7293
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