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Intraoperative Noninvasive Cardiovascular and Brain Monitoring in the Elderly

  • Geriatric Anesthesia (S Akhtar, Section Editor)
  • Published:
Current Anesthesiology Reports Aims and scope Submit manuscript

Abstract

Purpose of the Review

The purpose of this work is to provide a brief review of noninvasive cardiovascular and brain monitoring tools that could potentially decrease neurological complications in the perioperative period.

Recent Findings

Noninvasive continuous blood pressure monitoring, cardiac output monitoring, pulse contour analysis, and esophageal doppler can be combined with electroencephalogram and brain oximetry in order to improve patient safety by detecting cerebral insults early, allowing appropriate intervention to be made.

Summary

Aging population is one of the most salient and ever-expanding issues affecting healthcare for the foreseeable future. Defining and implementing optimal perioperative care for this aging population is of increasing importance. During surgery, preserving brain perfusion is probably one of the most important parts of hemodynamic management and can be appropriately achieved by using several available cardiovascular and neurologic monitoring tools.

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Author information

Authors and Affiliations

  1. Department of Anesthesia and Perioperative Medicine, University of California Los Angeles, USA, Ronald Reagan UCLA Medical Center, 757 Westwood Plaza, Suite 3325, Los Angeles, CA, 90095-7403, USA

    Susana Vacas, Takashige Yamada & Maxime Cannesson

  2. Department of Anesthesiology, Keio University School of Medicine, Tokyo, Japan

    Takashige Yamada

Authors
  1. Susana Vacas
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  2. Takashige Yamada
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  3. Maxime Cannesson
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Corresponding author

Correspondence to Maxime Cannesson.

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Conflict of Interest

Susana Vacas declares that she has no conflict of interest.

Takashige Yamada declares that he has no conflict of interest.

Maxime Cannesson has served as a consultant for Edwards Lifesciences and Masimo, is a co-founder of Sironis, and has a patent on closed-loop hemodynamic optimization licensed to Edwards Lifesciences.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Additional information

This article is part of the Topical Collection on Geriatric Anesthesia

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Vacas, S., Yamada, T. & Cannesson, M. Intraoperative Noninvasive Cardiovascular and Brain Monitoring in the Elderly. Curr Anesthesiol Rep 7, 373–379 (2017). https://doi.org/10.1007/s40140-017-0237-2

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  • DOI: https://doi.org/10.1007/s40140-017-0237-2

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