Open AccessCerebral Near-Infrared Spectroscopy Monitoring and Neurologic Outcomes in Adult Cardiac Surgery Patients
Author(s) -
Fei Zheng,
Rosanne Sheinberg,
May Sann Yee,
M. Ono,
Yian Zheng,
Charles W. Hogue
Publication year - 2013
Publication title -
anesthesia and analgesia/anesthesia and analgesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.404
H-Index - 201
eISSN - 1526-7598
pISSN - 0003-2999
DOI - 10.1213/ane.0b013e318277a255
Subject(s) - medicine , observational study , delirium , randomized controlled trial , stroke (engine) , medline , cardiac surgery , anesthesia , emergency medicine , intensive care medicine , surgery , law , engineering , mechanical engineering , political science
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.