Department of Anesthesia, University of Manitoba, Winnipeg, Manitoba, Canada.
Curr Opin Anaesthesiol. 2010 Feb;23(1):89-94. doi: 10.1097/ACO.0b013e3283346d10.
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.
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.
The use of a comprehensive cerebral monitoring strategy can optimize cerebral outcomes after cardiac surgery.
尽管在心脏手术患者的围手术期护理方面取得了重大进展，但不良的脑结局仍然是一个持续存在的问题。已经采用了多种方法来解决神经并发症，但缺乏明确的治疗策略。本综述重点介绍了可用于心脏手术以改善围手术期结果的各种脑监测选择。
预防不良结局显示出了希望，其中核心是通过脑监测确定可能使大脑处于危险中的情况。利用血流动力学、温度、脑电图和近红外光谱技术的多模态脑监测可对旨在改善脑结局的围手术期条件进行操作。
使用全面的脑监测策略可以优化心脏手术后的脑结局。
