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Advanced neurologic monitoring for cardiac surgery

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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.

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Authors and Affiliations

  1. Sentient Medical Systems, Inc., 10151 York Road, Suite 120, 21030, Cockeysville, MD, USA

    Alexander Y. Razumovsky PhD

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  1. Alexander Y. Razumovsky PhD
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  2. Lavern D. Gugino MD
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  3. Jeffrey H. Owen PhD
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Correspondence to Alexander Y. Razumovsky PhD.

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Razumovsky, A.Y., Gugino, L.D. & Owen, J.H. Advanced neurologic monitoring for cardiac surgery. Curr Cardiol Rep 8, 17–22 (2006). https://doi.org/10.1007/s11886-006-0005-2

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  • DOI: https://doi.org/10.1007/s11886-006-0005-2

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