Cerebral near-infrared spectroscopy monitoring and neurologic outcomes in adult cardiac surgery patients: a systematic review.
TLDR
Reductions in rScO2 during cardiac surgery may identify cardiopulmonary bypass cannula malposition, particularly during aortic surgery, and data are insufficient to conclude that interventions to improve r ScO2 desaturation prevent stroke or POCD.Abstract:
Background
Near-infrared spectroscopy is used during cardiac surgery to monitor the adequacy of cerebral perfusion. In this systematic review, we evaluated available data for adult patients to determine (1) whether decrements in cerebral oximetry during cardiac surgery are associated with stroke, postoperative cognitive dysfunction (POCD), or delirium and (2) whether interventions aimed at correcting cerebral oximetry decrements improve neurologic outcomes.read more
Citations
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Journal ArticleDOI
Current options and recommendations for the treatment of thoracic aortic pathologies involving the aortic arch: An expert consensus document of the European Association for Cardio-Thoracic surgery (EACTS) and the European Society for Vascular Surgery (ESVS)
Martin Czerny,Jürg Schmidli,Sabine Adler,Jos C. van den Berg,Luca Bertoglio,Thierry Carrel,Roberto Chiesa,Rachel E. Clough,Balthasar Eberle,Christian D. Etz,Martin Grabenwöger,Stéphan Haulon,Heinz Jakob,Fabian A. Kari,Carlos A. Mestres,Davide Pacini,Timothy Resch,Bartosz Rylski,Florian S. Schoenhoff,Malakh Shrestha,Hendrik von Tengg-Kobligk,Konstantinos Tsagakis,Thomas R. Wyss,Eacts +23 more
TL;DR: Current options and recommendations for the treatment of thoracic aortic pathologies involving the aortIC arch: an expert consensus document of the European Association for Cardio-Thoracic surgery and the European Society for Vascular Surgery.
Journal ArticleDOI
NIRS in clinical neurology - a 'promising' tool?
TL;DR: Near-infrared spectroscopy has become a relevant research tool in neuroscience and the potential to exploit the established position of NIRS as a functional imaging tool with regard to clinical questions such as preoperative functional assessment and neurorehabilitation is discussed.
Journal ArticleDOI
Postoperative Cognitive Dysfunction: Minding the Gaps in our Knowledge of A Common Postoperative Complication in the Elderly
Miles Berger,Jacob W. Nadler,Jeffrey N. Browndyke,Niccolò Terrando,Vikram Ponnusamy,Harvey J. Cohen,Heather E. Whitson,Joseph P. Mathew +7 more
TL;DR: In this article, the literature on POCD and POCI is reviewed, current research challenges in this area are discussed, and present research challenges are discussed.
Journal ArticleDOI
Duration and magnitude of blood pressure below cerebral autoregulation threshold during cardiopulmonary bypass is associated with major morbidity and operative mortality.
Masahiro Ono,Kenneth Martin Brady,R. Blaine Easley,Charles H. Brown,Michael A. Kraut,Rebecca F. Gottesman,Charles W. Hogue +6 more
TL;DR: Blood pressure management during cardiopulmonary bypass using physiologic endpoints such as cerebral autoregulation monitoring might provide a method of optimizing organ perfusion and improving patient outcomes from cardiac surgery.
Journal ArticleDOI
Perioperative organ injury.
TL;DR: The authors are of the opinion that research to provide mechanistic insight into acute organ injury and identification of novel therapeutic approaches for the prevention or treatment of perioperative organ injury represent the most important opportunity to improve outcomes of anesthesia and surgery.
References
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Journal ArticleDOI
Noninvasive, infrared monitoring of cerebral and myocardial oxygen sufficiency and circulatory parameters
TL;DR: Observations by infrared transillumination in the exposed heart and in the brain in cephalo without surgical intervention show that oxygen sufficiency for cytochrome a,a3, function, changes in tissue blood volume, and the average hemoglobin-oxyhemoglobin equilibrium can be recorded effectively and in continuous fashion for research and clinical purposes.
Journal ArticleDOI
Limits of the 'Mini-Mental State' as a screening test for dementia and delirium among hospital patients
TL;DR: The MMSE's value as a screen instrument for dementia and delirium when later, more intensive diagnostic enquiry is possible is confirmed; earlier suggestions that the MMSE alone cannot yield a diagnosis for these conditions are reinforced.
Journal ArticleDOI
Monitoring brain oxygen saturation during coronary bypass surgery: a randomized, prospective study.
John M. Murkin,Sandra J Adams,Richard J. Novick,Mackenzie A. Quantz,Daniel Bainbridge,Ivan Iglesias,Andrew Cleland,Betsy Schaefer,Beverly Irwin,Stephanie A. Fox +9 more
TL;DR: Monitoring cerebral rSO2 in coronary artery bypass patients avoids profound cerebral desaturation and is associated with significantly fewer incidences of major organ dysfunction.
Journal ArticleDOI
Near-infrared spectroscopy as an index of brain and tissue oxygenation
John M. Murkin,Miguel Arango +1 more
TL;DR: A review of the mode of operation, current limitations and confounders, clinical applications, and potential future uses of such NIRS-based cerebral oximetry devices can be found in this article.
Journal ArticleDOI
Cerebral Oxygen Desaturation Predicts Cognitive Decline and Longer Hospital Stay After Cardiac Surgery
James P. Slater,Theresa Guarino,Jessica Stack,Kateki Vinod,Rami Bustami,John Brown,Alejandro L. Rodriguez,Christopher J. Magovern,Thomas S. Zaubler,Kenneth Freundlich,Grant V.S. Parr +10 more
TL;DR: Intraoperative cerebral oxygen desaturation is significantly associated with an increased risk of cognitive decline and prolonged hospital stay after CABG.
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