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Cerebral monitoring to optimize outcomes after cardiac surgery

Fedorow, Christine; Grocott, Hilary P

Current Opinion in Anaesthesiology: February 2010 - Volume 23 - Issue 1 - p 89–94
doi: 10.1097/ACO.0b013e3283346d10
Cardiovascular anesthesia: Edited by Christopher J. O'Connor

Purpose of review: Although significant achievements have been made in the perioperative care of patients undergoing cardiac surgery, adverse cerebral outcomes remain an ongoing concern. Multiple approaches have been utilized to address neurologic complications, though definitive therapeutic strategies are lacking. This review focuses on the various cerebral monitoring options that can be used in cardiac surgery to improve perioperative outcomes.

Recent findings: Prevention of adverse outcomes has shown promise, and central to this is the identification of conditions, through cerebral monitoring, which may put the brain at risk. Multimodal cerebral monitoring utilizing hemodynamics, temperature, electroencephalography, and near-infrared spectroscopy techniques allow for the manipulation of perioperative conditions aimed at improving cerebral outcome.

Summary: The use of a comprehensive cerebral monitoring strategy can optimize cerebral outcomes after cardiac surgery.

Department of Anesthesia, University of Manitoba, Winnipeg, Manitoba, Canada

Correspondence to Hilary P. Grocott, MD, FRCPC, Professor of Anesthesia and Surgery, University of Manitoba, I.H. Asper Institute for Clinical Research, CR3008-369 Tache Avenue, Winnipeg, MB R2H 2A6, Canada Tel: +1 204 258 1313; fax: +1 204 231 4624; e-mail: hgrocott@sbgh.mb.ca

© 2010 Lippincott Williams & Wilkins, Inc.