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Review
. 2004 Nov;99(5):1365-1375.
doi: 10.1213/01.ANE.0000134808.52676.4D.

Neurological monitoring for congenital heart surgery

Dean B Andropoulos  1 , Stephen A Stayer, Laura K Diaz, Chandra Ramamoorthy
Affiliations
Review

Neurological monitoring for congenital heart surgery

Dean B Andropoulos et al. Anesth Analg. 2004 Nov.

Abstract

The incidence of neurological complications after pediatric cardiac surgery ranges from 2% to 25%. The causes are multifactorial and include preoperative brain malformations, perioperative hypoxemia and low cardiac output states, sequelae of cardiopulmonary bypass, and deep hypothermic circulatory arrest. Neurological monitoring devices are readily available and the anesthesiologist can now monitor the brain during pediatric cardiac surgery. In this review we discuss near-infrared cerebral oximetry, transcranial Doppler ultrasound, and electroencephalographic monitors for use during congenital heart surgery. After review of the basic principles of each monitoring modality, we discuss their uses during pediatric heart surgery. We present evidence that multimodal neurological monitoring in conjunction with a treatment algorithm may improve neurological outcome for patients undergoing congenital heart surgery and present one such algorithm.

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References

    1. Fallon P, Aparicio JM, Elliott MJ, Kirkham FJ. Incidence of neurological complications of surgery for congenital heart disease. Arch Dis Child 1995;72:418–22.
    1. Ferry PC. Neurologic sequelae of cardiac surgery in children. Am J Dis Child 1987;141:309–12.
    1. Menache CC, du Plessis AJ, Wessel DL, et al. Current incidence of acute neurologic complications after open-heart operations in children. Ann Thorac Surg 2002;73:1752–8.
    1. Austin EH III, Edmonds HL Jr, Auden SM, et al. Benefit of neurophysiologic monitoring for pediatric cardiac surgery. J Thorac Cardiovasc Surg 1997;114:707–15, 717.
    1. Murkin JM. Etiology and incidence of brain dysfunction after cardiac surgery. J Cardiothorac Vasc Anesth 1999;13:12–7.