2002
DOI: 10.1016/s0003-4975(02)03618-4
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Cerebral oxygen saturation assessed by near-infrared spectroscopy during coronary artery bypass grafting and early postoperative cognitive function

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Cited by 62 publications
(36 citation statements)
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“…However, the majority of patients who fulfilled the criteria for cognitive dysfunction had normal or atleast acceptable intra-operative cerebral oximetry values. This finding is in contrast to that of other groups who reported an association between cerebral desaturation and postoperative cognitive dysfunction [13,14,21,22]. The causes of cognitive dysfunction are likely to be different when tested for at an early stage compared with later after surgery.…”
Section: Discussioncontrasting
confidence: 88%
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“…However, the majority of patients who fulfilled the criteria for cognitive dysfunction had normal or atleast acceptable intra-operative cerebral oximetry values. This finding is in contrast to that of other groups who reported an association between cerebral desaturation and postoperative cognitive dysfunction [13,14,21,22]. The causes of cognitive dysfunction are likely to be different when tested for at an early stage compared with later after surgery.…”
Section: Discussioncontrasting
confidence: 88%
“…Although there is no agreement of what reduction in cerebral oximetry from baseline is abnormal in cardiac surgery [15], the low incidence of marked desaturation found in our study is discordant with previous literature [21,22]. The primary outcome for our study was based on a previously published study [14], which showed lower overall baseline and peri-operative cerebral oximetry levels, and deeper dips in cerebral oximetry saturations than our study population.…”
Section: Discussionsupporting
confidence: 77%
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“…In addition, two studies evaluated the ability of NIRS, using various cutoff values, to predict the incidence of neurological problems or the postoperative cognitive performance of patients, but did not find statistically significant differences between patients with NIRS measurements above or below the cutoff values. 26,60 D Di is sc cu us ss si io on n NIRS has been deployed in cardiac surgery for 5,931 patients, of whom at least 83% were undergoing CABG. With the exception of one randomized controlled trial (level II evidence), every paper retrieved was level III to V evidence.…”
Section: Clinical Efficacy Of Nirs In Heart Surgerymentioning
confidence: 99%
“…Although there are some conflicting results regarding NIRS and outcomes, NIRS monitoring is an easy, non-invasive and helpful technique for detecting cerebral oxygen saturation during cardiac surgery [25,26].…”
Section: Discussionmentioning
confidence: 99%