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Neonatal brain protection in cardiac surgery and the role of intraoperative neuromonitoring.

作者信息

Khan Muhammad S, Fraser Charles D

机构信息

Division of Congenital Heart Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA.

出版信息

World J Pediatr Congenit Heart Surg. 2012 Jan 1;3(1):114-9. doi: 10.1177/2150135111425934.

DOI:10.1177/2150135111425934
PMID:23804694
Abstract

Improving mortality rates in children undergoing surgery for congenital heart disease has enabled a shift in focus to improving morbidity, particularly with respect to neurological complications. Various factors have been implicated in influencing neurological outcomes. We share our experience in formulating a customized cardiopulmonary bypass (CPB) protocol based on currently available evidence. Theoretical advantages of intraoperative neuromonitoring during CPB, specifically use of near-infrared spectroscopy, will be discussed in the context of methodologies to monitor cerebral perfusion during surgery.

摘要

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