Multimodality Neuromonitoring for Pediatric Cardiac Surgery: Our Approach and a Critical Appraisal of the Available Evidence

Research output: Contribution to journalReview article

12 Citations (Scopus)

Abstract

Brain injury remains a source of morbidity associated with congenital heart surgery. Intraoperative neuromonitoring is used by many centers to help minimize neurologic injury and improve outcomes. Neuromonitoring at our institution is performed using a combination of near-infrared spectroscopy, transcranial Doppler ultrasound, electroencephalography, and somatosensory evoked potentials. Adverse or concerning parameters instigate attempts at corrective intervention. A review of the literature regarding neuromonitoring studies in pediatric cardiac surgery shows that evidence is limited to demonstrate that intraoperative neuromonitoring is associated with improved neurologic outcomes. Further clinical research is needed to assess the utility and cost-effectiveness of intraoperative neuromonitoring for pediatric heart surgery.

Original languageEnglish (US)
Pages (from-to)87-95
Number of pages9
JournalWorld Journal for Pediatric and Congenital Heart Surgery
Volume3
Issue number1
DOIs
StatePublished - Jan 2012

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Thoracic Surgery
Pediatrics
Nervous System Trauma
Doppler Ultrasonography
Somatosensory Evoked Potentials
Near-Infrared Spectroscopy
Brain Injuries
Nervous System
Cost-Benefit Analysis
Electroencephalography
Morbidity
Research

All Science Journal Classification (ASJC) codes

  • Surgery
  • Pediatrics, Perinatology, and Child Health
  • Cardiology and Cardiovascular Medicine

Cite this

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