الفهرس | Only 14 pages are availabe for public view |
Abstract Prevention of cerebral injury in children undergoing cardiac surgery is an important issue because perioperative neurologic morbidity is associated with prolonged time to extubation, longer intensive care unit stay, and increased mortality. Cerebral monitoring can help detect the population at risk, promptly recognize and treat changes in cerebral blood flow/ oxygenation, evaluate the effect of therapeutic interventions on cerebral physiology, and optimize brain protection during the vulnerable periods of CPB. Cerebral monitoring may improve neurologic outcome after pediatric cardiac surgery, reducing the burden that neurologic deficits pose to patients and families. Cerebral oximetry and transcranial Doppler are two important noninvasive cerebral perfusion monitoring. The present study compared between these two monitors giving a higher advantage to NIRS (cerebral oximeter) because it{u2019}s easier to be attached, less operator dependent and the measured saturation showed a better correlation with cerebral perfusion parameters (AVDL and AVDO₂) |