PMID: 16507230Mar 2, 2006Paper

Advanced neurologic monitoring for cardiac surgery

Current Cardiology Reports
Alexander Y RazumovskyJeffrey H Owen

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.

References

Nov 1, 1990·Annals of Neurology·J Ley-Pozo, E B Ringelstein
Jun 1, 1985·The Annals of Thoracic Surgery·N T MontagueO W Clayton
Jul 1, 1995·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·J BrillmanD A Benckart
Dec 1, 1994·Stroke; a Journal of Cerebral Circulation·D BarbutJ P Gold
Jul 1, 1994·Stroke; a Journal of Cerebral Circulation·W PugsleyS Newman
Feb 1, 1997·The Annals of Thoracic Surgery·G M McKhannT J Gardner
Oct 23, 1997·Critical Care Medicine·K J SapireB Chance
Aug 6, 1998·The Annals of Thoracic Surgery·M KirschD Y Loisance
Jan 30, 1999·Acta Neurologica Scandinavica·A Y RazumovskyS M Oppenheimer
Oct 20, 1999·Journal of Cardiothoracic and Vascular Anesthesia·D A StumpK D Rorie
Feb 10, 2000·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·A M DemchukA V Alexandrov
Mar 4, 2000·Stroke; a Journal of Cerebral Circulation·W R BrownJ W Hammon
May 9, 2000·The Annals of Thoracic Surgery·G K van WermeskerkenM F Newman
Jun 26, 2003·The Annals of Thoracic Surgery·Tomoko GotoTakaaki Koshiji
Aug 7, 2003·The Annals of Thoracic Surgery·David C CharlesworthUNKNOWN Northern New England Cardiovascular Disease Study Group
May 12, 2004·Neurology·M A SloanUNKNOWN Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology
Jan 13, 2006·Circulation·Thomas ThomUNKNOWN American Heart Association Statistics Committee and Stroke Statistics Subcommittee

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Citations

Oct 19, 2011·Philosophical Transactions. Series A, Mathematical, Physical, and Engineering Sciences·David A Boas, Maria Angela Franceschini
May 30, 2007·The Journal of Thoracic and Cardiovascular Surgery·Francesca di MarcoGino Gerosa
Nov 16, 2006·Liver International : Official Journal of the International Association for the Study of the Liver·E NahumE D Skarsgard
May 3, 2007·Journal of the International Association of Physicians in AIDS Care : JIAPAC·Babafemi O Taiwo, Robert Murphy
Oct 17, 2007·Annual Review of Pharmacology and Toxicology·Shawn E Kuhmann, Oliver Hartley
Apr 25, 2008·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Frances H PriddyUNKNOWN Merck V520-016 Study Group
Dec 26, 2008·AIDS Research and Human Retroviruses·Clayton D HarroUNKNOWN Merck V520-007/012 Study Teams

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