Intraoperative Noninvasive Cardiovascular and Brain Monitoring in the Elderly
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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.
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.
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.
KeywordsHemodynamic monitoring Noninvasive Brain monitoring EEG Neurologic complications
Compliance with Ethical Standards
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.
Papers of particular interest, published recently, have been highlighted as: • Of importance, •• Of major importance
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