Neuroprotective Strategies – What Do We Really Need to Know?

While preliminary data are encouraging, definitive data are lacking to conclusively demonstrate the benefit of perioperative neurologic monitoring in improving neurodevelopmental outcomes in children who require surgery for congenital heart disease. Nonetheless, in the current era, some form of peri...

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Published inSeminars in thoracic and cardiovascular surgery. Pediatric cardiac surgery annual Vol. 17; no. 1; pp. 77 - 80
Main Authors Guzmán-Pruneda, Francisco A., Fraser, Charles D.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 2014
Subjects
Brain Injuries - prevention & control
Cardiothoracic Surgery
Child
Child, Preschool
Heart Defects, Congenital - surgery
Humans
Infant
Infant, Newborn
Intraoperative Complications - prevention & control
Monitoring, Physiologic - methods
Pediatrics
Postoperative Complications - prevention & control
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ISSN1092-9126
DOI10.1053/j.pcsu.2014.01.005

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Summary:While preliminary data are encouraging, definitive data are lacking to conclusively demonstrate the benefit of perioperative neurologic monitoring in improving neurodevelopmental outcomes in children who require surgery for congenital heart disease. Nonetheless, in the current era, some form of perioperative neurologic monitoring is important. Strategies include bicortical near infrared spectroscopy monitoring in the pre- and postoperative periods along with bicortical near infrared spectroscopy and transcranial Doppler intraoperatively. These monitors provide real-time information concerning cerebral oxygen delivery and blood flow. These strategies will allow us to refine treatments to optimize neurodevelopmental potential in children with congenital heart disease.
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ISSN:1092-9126
DOI:10.1053/j.pcsu.2014.01.005