Pulse Brain · Growing Health Evidence Index
Peer-reviewed

Neuromonitoring and Neurocognitive Outcomes in Cardiac Surgery: A Narrative Review

Benjamin Milne, Tom Gilbey, Livia Gautel, Gudrun Kunst

Journal of Cardiothoracic and Vascular Anesthesia · 2021

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Summary

Neurocognitive dysfunction after cardiac surgery can present with diverse clinical phenotypes, which include postoperative delirium, postoperative cognitive dysfunction, and stroke, and it presents a significant healthcare burden for both patients and providers. Neurologic monitoring during cardiac surgery includes several modalities assessing cerebral perfusion and oxygenation (near-infrared spectroscopy, transcranial Doppler and jugular venous bulb saturation monitoring) and those that measure cerebral function (processed and unprocessed electroencephalogram), reflecting an absence of a single, definitive neuromonitor. This narrative review briefly describes the technologic basis of these neuromonitoring modalities, before exploring their use in clinical practice, both as tools to predic

Source type
Peer-reviewed study
DOI
10.1053/j.jvca.2021.07.029
Catalogue ID
SNmojg04he-ndrhis
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