Neurological Monitoring and Outcome

Kenneth Martin Brady*, Chandra Ramamoorthy, R. Blaine Easley, Dean B. Andropoulos

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations

Abstract

Infants who undergo repair of congenital heart lesions are at risk of acute neurologic injury and subsequent developmental delay and neurocognitive impairment. Several aspects of management, especially the cardiopulmonary bypass strategies are known to impact cerebral blood flow, but no neuroprotective practice has been established as a standard for the management of these fragile patients. Neuromonitoring modalities are available for care optimization targeting oxygen delivery, but they have not demonstrated an ability to improve patient outcome. This chapter reviews cerebral physiology during cardiac surgery, bypass, and deep hypothermia. Cerebral monitoring modalities are then reviewed. Finally longer term neurodevelopmental outcomes after cardiac surgery are presented.

Original languageEnglish (US)
Title of host publicationAnesthesia for Congenital Heart Disease
Subtitle of host publicationThird Edition
Publisherwiley
Pages230-249
Number of pages20
ISBN (Electronic)9781118768341
ISBN (Print)9781118768259
DOIs
StatePublished - Sep 25 2015

Keywords

  • Deep hypothermic circulatory arrest
  • Near-infrared spectroscopy
  • Neurocognitive outcome; Selective cerebral perfusion
  • Neuromonitoring

ASJC Scopus subject areas

  • Medicine(all)

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