Seminars in Cardiothoracic and Vascular Anesthesia

 

Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Register here to gain access to SAGE's 500+ Journals Online

Click here to sign up for SAGE Journal Email Alerts today!

Sign In to gain access to subscriptions and/or personal tools.
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Saidi, N.
Right arrow Articles by Murkin, J. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Saidi, N.
Right arrow Articles by Murkin, J. M.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?
Seminars in Cardiothoracic and Vascular Anesthesia, Vol. 9, No. 1, 17-23 (2005)
DOI: 10.1177/108925320500900103

Applied Neuromonitoring in Cardiac Surgery: Patient Specific Management

Nousheh Saidi, MD

Department of Anesthesiology and Perioperative Medicine, University of Western Ontario, London, Ontario

John M. Murkin, MD, FRCPC

Department of Anesthesia and Perioperative Medicine, London Health Sciences Centre, 339 Windermere Road, London, ON Canada N6A 5A5jmurkin{at}uwo.ca

Various studies have demonstrated that over 50% of patients presenting for coronary revascularization surgery have evidence of extracranial or intracranial atherosclerotic disease. Although evidence is compelling that cerebral emboli are a major cause of perioperative central nervous system (CNS) morbidity in such patients, it is also apparent that alterations in cerebral perfusion pressure and blood flow can profoundly influence the extent of injury after an embolic insult. In this context, the recent studies demonstrating improved CNS outcomes with applied neuromonitoring in cardiac surgical patients can be understood as reflecting the optimization of CNS perfusion characteristics with potential amelioration of microembolic injury. This review critically evaluates and discusses the relevant characteristics of applied neuromonitoring techniques, including bispectral index (BIS), transcranial Doppler (TCD), and near infrared reflectance spectroscopy (NIRS) in the context of patients undergoing cardiac surgical procedures. Recent outcomes data regarding CNS and related morbidity and the influence of neuromonitoring in these groups are evaluated.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 SEMIN CARDIOTHORAC VASC ANESTHHome page
C. S. Leggat and G. W. Fischer
Early Detection of an Acute Cerebral Event During Cardiopulmonary Bypass Using a Bispectral Index Monitor
Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 2008; 12(1): 80 - 82.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
M. Redlin, W. Boettcher, M. Huebler, F. Berger, R. Hetzer, A. Koster, and W. M. Kuebler
Detection of lower torso ischemia by near-infrared spectroscopy during cardiopulmonary bypass in a 6.8-kg infant with complex aortic anatomy.
Ann. Thorac. Surg., July 1, 2006; 82(1): 323 - 325.
[Abstract] [Full Text] [PDF]