Advanced neurologic monitoring for cardiac surgery.

Abstract:

:Cardiac surgery (CS) with cardiopulmonary bypass (CPB) is currently the most common surgery in the United States. Understanding, avoiding, and preventing postoperative complications, including neurologic deficits following CS, represents a great public and economic benefit for society, especially considering our aging population. There is a critical need to identify new strategies that will prevent harmful events during and after CS. At present, experience with neurophysiologic techniques includes the ability to measure cerebral blood flow velocity/emboli and regional cerebral venous oxygen saturation by transcranial Doppler ultrasound, and by near-infrared spectroscopy, respectively. Continuous monitoring of these variables along with systemic hemodynamics will provide a better understanding of mechanisms of brain and other organ injury during CPB. Neuroprotective interventions based on multimodality neurologic monitoring would ideally eliminate postoperative complications and improve patient outcomes.

journal_name

Curr Cardiol Rep

authors

Razumovsky AY,Gugino LD,Owen JH

doi

10.1007/s11886-006-0005-2

keywords:

subject

Has Abstract

pub_date

2006-02-01 00:00:00

pages

17-22

issue

1

eissn

1523-3782

issn

1534-3170

journal_volume

8

pub_type

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