Awareness of the high incidence of subtle central nervous system dysfunction after cardiopulmonary bypass, when it leads to increased vigilance in monitoring and diagnosis, remains the most important factor in the detection of postoperative injury. Preliminary data from an ongoing prospective study indicates that the use of noninvasive cerebral oximetry may be associated with a decreased length of stay in patients who have had coronary artery bypass grafting.
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References
1.
Edmonds HL.Multi-modality neurophysiologic monitoring for cardiac surgery. The Heart Surgery Forum5:225-228, 2002.
2.
McCormick PW, Stewart M, Goetting MG, et al: Noninvasive cerebral optical spectroscopy for monitoring cerebral oxygen delivery and hemodynamics. Crit Care Med19:89-97, 1991.
3.
Josbis FF: Noninvasive, infrared monitoring of cerebral and myocardial oxygen sufficiency and circulatory parameters. Science198:1264-1267, 1977.
4.
Iglesias I, Murkin JM, Bainbridge D, et al: Monitoring cerebral oxygen saturation significantly decreases postoperative length of stay: A prospective randomized study. Heart Surg Forum6:204-204, 2003.