Monitoring cerebrovascular autoregulation: a potential new tool to prevent neurocognitive complications after cardiac surgery

Zanatta, Paolo; Benvenuti, Simone Messerotti

doi:10.23736/s0375-9393.18.13093-8

Cited by 2 publications

(2 citation statements)

References 19 publications

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“…Currently existing monitoring methods do have certain limitations if applied alone for detection of brain damage. However, a multimodal neuromonitoring will allow recognition of injury during surgery with interventions that will lead to possible reduction of subsequent neurological deficits 104–111 …”

Section: Tcd Monitoring Rationalementioning

confidence: 99%

“…However, a multimodal neuromonitoring will allow recognition of injury during surgery with interventions that will lead to possible reduction of subsequent neurological deficits. [104][105][106][107][108][109][110][111] At present, experience with neurophysiologic techniques includes measuring CBFV and emboli by TCDNM and regional cerebral venous…”

Section: Cardiac and Cardiothoracic Surgeriesmentioning

confidence: 99%

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ASNM and ASN joint guidelines for transcranial Doppler ultrasonic monitoring: An update

Razumovsky¹,

Jahangiri²,

Balzer

et al. 2022

Journal of Neuroimaging

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Today, it seems prudent to reconsider how ultrasound technology can be used for providing intraoperative neurophysiologic monitoring that will result in better patient outcomes and decreased length and cost of hospitalization. An extensive and rapidly growing literature suggests that the essential hemodynamic information provided by transcranial Doppler (TCD) ultrasonography neuromonitoring (TCDNM) would provide effective monitoring modality for improving outcomes after different types of vascular, neurosurgical, orthopedic, cardiovascular, and cardiothoracic surgeries and some endovascular interventional or diagnostic procedures, like cardiac catheterization or cerebral angiography.Understanding, avoiding, and preventing peri-or postoperative complications, including neurological deficits following abovementioned surgeries, endovascular intervention, or diagnostic procedures, represents an area of great public and economic benefit for society, especially considering the aging population. The American Society of Neurophysiologic Monitoring and American Society of Neuroimaging Guidelines Committees formed a joint task force and developed updated guidelines to assist in the use of TCDNM in the surgical and intensive care settings. Specifically, these guidelines define (1) the objectives of TCD monitoring; (2) the responsibilities and behaviors of the neurosonographer during monitoring; (3) instrumentation and acquisition parameters; (4) safety considerations; (5) contemporary rationale for TCDNM; (6) TCDNM perspectives; and (7) major recommendations.

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Section: Tcd Monitoring Rationalementioning

confidence: 99%