Eatures of monitoring in a patient with Takayasu's disease during anesthesia (case report)

Objective: to explore the potential of monitoring and maintaining organ perfusion in patients with Takayasu arteritis. This condition presents a challenge for accurate blood pressure determination due to its heterogeneous clinical presentation and frequent delay in diagnosis.

Materials and methods: this case study analyzes the use of regional cerebral oximetry as a tool for assessing organ perfusion. Particular attention was paid to its application as a surrogate marker of hemodynamic status when non-invasive blood pressure measurement is unreliable. For the anesthetic management of a patient with severe Takayasu arteritis, various monitoring modalities were employed to ensure adequate organ perfusion.

Results: the case demonstrates that regional cerebral oximetry provides valuable insights into cerebral hemodynamics and can serve as an indicator of systemic perfusion. It is a useful alternative when standard blood pressure measurement is unfeasible. This monitoring approach helps prevent the underestimation of microcirculatory impairment and allows for timely treatment adjustments.

Conclusion: the presented findings and literature review support the potential role of regional cerebral oximetry as an adjunctive tool for monitoring perfusion. It can serve as a surrogate marker of cerebral hemodynamics in patients with Takayasu arteritis. This patient population poses unique perioperative monitoring challenges, underscoring the need for further research into effective methods for assessing hemodynamic status when traditional blood pressure measurements are inaccessible.

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