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Near-Infrared Spectroscopy Monitoring in Cardiac Surgery: Theory, Practice, and Utility

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Brain Protection in Cardiac Surgery

Abstract

Patients undergoing cardiac surgical procedures are at increased risk of central nervous system (CNS) complications from a variety of causes. The increase in age and associated incidence of comorbidities give rise to significant cerebrovascular disease in upwards of 50% of adult cardiac surgical patients, rendering them more susceptible to cerebral ischemic events.1,2 In specific circumstances, for example, selective cerebral perfusion (SCP), or even more generally, during cardiac surgery, relative cerebral hypoperfusion can engender cerebral ischemia and negatively impact outcome. As such, the ability to monitor and optimize cerebral perfusion in real time represents an important development.

Adapted from Murkin JM, Arango M. Near-infrared spectroscopy as an index of brain and tissue oxygenation. Br J Anaesth 2009; 103 (suppl 1) i3–i13.

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  1. Cardiac Anesthesiology Research, Department of Anesthesiology and Perioperative Medicine, University of Western Ontario, London, ON, Canada

    John M. Murkin (Director)

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  1. John M. Murkin
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  2. Miguel F. Arango
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  3. Alain Deschamps
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  4. André Y. Denault
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Correspondence to John M. Murkin .

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  1. Dept. Cardiothoracic Surgeon, Queen Elizabeth Hospital, Birmingham, B15 2TH, United Kingdom

    Robert S. Bonser

  2. Cardiothoracic Surgery, Beaumont Road 208, Birmingham, B30 1NX, United Kingdom

    Domenico Pagano

  3. Klinik für Herz-, Thorax-,, Transplantations- und Gefäßchirurgie, Medizinische Hochschule Hannover (MHH), Carl-Neuberg-Str. 1, Hannover, 30625, Germany

    Axel Haverich

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Murkin, J.M., Arango, M.F., Deschamps, A., Denault, A.Y. (2011). Near-Infrared Spectroscopy Monitoring in Cardiac Surgery: Theory, Practice, and Utility. In: Bonser, R., Pagano, D., Haverich, A. (eds) Brain Protection in Cardiac Surgery. Springer, London. https://doi.org/10.1007/978-1-84996-293-3_11

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