Using jugular bulb oxyhemoglobin saturation to guide onset of deep hypothermic circulatory arrest does not affect post-operative neuropsychological function

Reich, David L.; Horn, Loren; Hossain, Sabera; Uysal, Suzan

doi:10.1016/j.ejcts.2003.11.041

Cited by 18 publications

(6 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, in another study in 2007, being consistent with the results of the present one, they reported no significant differences between normothermic and hypothermic methods at the time of discharge, with the difference that the hypothermic method was employed without rewarming in the present study (19). Consistent with the results of the present study, other studies showed no significant differences in cognitive functions between the two normothermic and hypothermic methods at the time of discharge (19)(20)(21)(22). Hiraoka et al used the MMSE questionnaire to survey cognitive functions of patients after aortic arch replacement surgery.…”

Section: Discussionsupporting

confidence: 91%

“…Besides, based on cognitive function assessments for the periods of two weeks and six months after surgery, cognitive impairment would gradually improve over time in both groups, indicating that more noticeable cognitive impairment occurred during hospitalization (15). The reason is that most studies have shown that severity of cognitive impairment decreases over time compared to the first days of hospitalization (15,21,22). The present study also showed a decrease in cognitive impairment in the last two days, i.e.…”

Section: Discussionsupporting

confidence: 56%

See 1 more Smart Citation

Comparison of the Effects of Hypothermia and Normothermia on Cognitive Functions After Coronary Artery Bypass Surgery

Ziyaeifard

Ghavidel

Moradi

et al. 2021

Multidiscip Cardio Annal

View full text Add to dashboard Cite

Background: Cognitive impairment is among the most prevalent complications in patients undergoing CABG. Selection of the proper temperature is one of the main moderating factors in cognitive impairment following CABG. Today, heart surgery is done using the two methods of hypothermia and normothermia. However, there is no consensus over the method with the least side effects. Objectives: This study aims to compare the effects of hypothermia and normothermia on cognitive functions after undergoing CABG during the hospitalization period. Methods: A total of 130 patients in this cohort observational study were divided into two groups of normothermic (n = 65) and hypothermic (n = 65). In the hypothermic group, the temperature was down to 32°C, and in the normothermic group, the temperature decreased to 35°C. After the surgery and transferring the patients to the ICU, demographic information and MMSE questionnaires were completed from the second to the sixth day at the same time. Results: The results showed no significant differences between the two groups in educational and social demographic characteristics (P > 0.05). Besides, there was no significant differences between the two groups in the history of the disease (P = 1.000). In addition, there was no significant relationship between cognitive performance scores of the two groups before the surgery (P = 1.000). However, there was a significant relationship between the two groups from the second (P = 0.003), third (P = 0.000) and the fourth day (P = 0.023) after the surgery. In the normothermic group, on the second, as well as third and fourth days 14 and 9 patients suffered from cognitive impairment, respectively. Besides, in the hypothermic group, on the second, third, and fourth days after surgery, 28, 30, and 23 patients suffered from cognitive impairment, respectively. However, there was no significant relationship between the two groups on the fifth and sixth days after the surgery (P = 0.079). Conclusions: The present study showed that during hospitalization after undergoing CABG, cognitive impairment in patients with the normothermic method was less severe than that in patients with the hypothermic method. Besides, clinical outcomes were more satisfactory in the former group.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 56%

Comparison of the Effects of Hypothermia and Normothermia on Cognitive Functions After Coronary Artery Bypass Surgery

Ziyaeifard

Ghavidel

Moradi

et al. 2021

Multidiscip Cardio Annal

View full text Add to dashboard Cite

show abstract

“…76 It also showed that NIRS oximetry has largely replaced invasive jugular bulb oximetry. 76,86 An analysis of open arch surgical strategies at 12 large European centres reported NIRS use for neuromonitoring in all centres. 87 The limitation remains that uneventful intraoperative bifrontal regional cerebral oximetry saturation (rSO 2 ) tracings do not rule out focal cerebral ischaemia, which may occur outside the limited field of view of current NIRS devices.…”

Section: Near-infrared Spectroscopy-based Regional Oxygenation Monitomentioning

confidence: 99%

Editor's Choice – Current Options and Recommendations for the Treatment of Thoracic Aortic Pathologies Involving the Aortic Arch: An Expert Consensus Document of the European Association for Cardio-Thoracic Surgery (EACTS) & the European Society for Vascular Surgery (ESVS)

Czerny¹,

Schmidli²,

Adler³

et al. 2019

European Journal of Vascular and Endovascular Surgery

252

122

View full text Add to dashboard Cite

“…Einige Autoren emp fehlen, die Patienten vor einem DHCA so lange zu kühlen, bis die S vj O 2 Werte um 95% erreicht, um eine maximale zerebrale metabolische Suppression zu gewährleis ten [3,13]. Allerdings wurde bezweifelt, dass während eines DHCA eine Orien tierung an der S vj O 2 zur Beurteilung einer adäquaten Hypothermie auch zu einer verbesserten Neuroprotektion führt [44]. Aufgrund der Invasivität des Verfahrens sehen einige Autoren in der Messung der S vj O 2 nur eine begrenzte Einsatzmöglich keit im klinischen Alltag [14].…”

Section: Zerebrales Neuromonitoringunclassified

Typ-A-Dissektion

Roggenbach

Rauch

2010

Anaesthesist

View full text Add to dashboard Cite

Acute type A dissection is among the most dangerous of vascular diseases and is associated with a high lethality. Surgery for type A dissection is a complex procedure which is accompanied by relevant blood losses and severe deterioration of the coagulation system. Either due to the dissection or the surgical procedure, perfusion of affected organs can be diminished or completely disrupted with the risk of irreversible organ damage especially in the brain. Perioperative anesthesiological management for type A dissection is demanding and involves maintaining hemodynamic stability, surveillance of cerebral oxygenation and transesophageal echocardiographical diagnostic support for the decision-making of the most appropriate surgical approach. Furthermore, reestablishment of sufficient hemostasis can be challenging and requires thorough understanding of the relevant aspects affecting normal hemostasis during surgical repair of aortic dissection. In this article relevant pathophysiological aspects and basic principles of anesthesiological management of type A dissection are described.

show abstract

Using jugular bulb oxyhemoglobin saturation to guide onset of deep hypothermic circulatory arrest does not affect post-operative neuropsychological function

Cited by 18 publications

References 16 publications

Comparison of the Effects of Hypothermia and Normothermia on Cognitive Functions After Coronary Artery Bypass Surgery

Comparison of the Effects of Hypothermia and Normothermia on Cognitive Functions After Coronary Artery Bypass Surgery

Editor's Choice – Current Options and Recommendations for the Treatment of Thoracic Aortic Pathologies Involving the Aortic Arch: An Expert Consensus Document of the European Association for Cardio-Thoracic Surgery (EACTS) & the European Society for Vascular Surgery (ESVS)

Typ-A-Dissektion

Contact Info

Product

Resources

About