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Cerebral oximetry: the standard monitor of the future?

Anneliese Moerman (UGent) and Stefan De Hert (UGent)
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Abstract
Purpose of review: There is an increasing interest in the application of near-infrared spectroscopy (NIRS) as a monitoring tool in noncardiac surgery. This review summarizes the latest developments and current evidence for the use of NIRS in the noncardiac intraoperative setting. Recent findings: Unanticipated intraoperative physiological disturbances and a substantial interpatient variability in the limits of cerebral autoregulation, pose our patients at risk for adverse cerebral outcome, if the brain is not monitored specifically. In addition to a means to monitor the brain, NIRS has been shown to allow an estimate of overall organ oxygenation. Preliminary data suggest a relationship between cerebral desaturation and both neurologic and major organ morbidity. Summary: NIRS offers noninvasive monitoring of cerebral and overall organ oxygenation in a wide range of clinical scenarios. There is an increasing evidence that the optimized cerebral oxygenation is associated with improved outcomes in both neurologic and major organ morbidity in a variety of surgical settings.
Keywords
monitoring, brain, cerebral oximetry, noninvasive, near-infrared spectroscopy, NEAR-INFRARED SPECTROSCOPY, END-EXPIRATORY PRESSURE, ASSISTED PROSTATIC SURGERY, BEACH-CHAIR POSITION, OXYGEN-SATURATION, SHOULDER ARTHROSCOPY, TRENDELENBURG POSITION, BLOOD-PRESSURE, LIVER-TRANSPLANTATION, CAROTID-ENDARTERECTOMY

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Citation

Please use this url to cite or link to this publication:

MLA
Moerman, Anneliese, and Stefan De Hert. “Cerebral Oximetry: The Standard Monitor of the Future?” CURRENT OPINION IN ANESTHESIOLOGY 28.6 (2015): 703–709. Print.
APA
Moerman, A., & De Hert, S. (2015). Cerebral oximetry: the standard monitor of the future? CURRENT OPINION IN ANESTHESIOLOGY, 28(6), 703–709.
Chicago author-date
Moerman, Anneliese, and Stefan De Hert. 2015. “Cerebral Oximetry: The Standard Monitor of the Future?” Current Opinion in Anesthesiology 28 (6): 703–709.
Chicago author-date (all authors)
Moerman, Anneliese, and Stefan De Hert. 2015. “Cerebral Oximetry: The Standard Monitor of the Future?” Current Opinion in Anesthesiology 28 (6): 703–709.
Vancouver
1.
Moerman A, De Hert S. Cerebral oximetry: the standard monitor of the future? CURRENT OPINION IN ANESTHESIOLOGY. 2015;28(6):703–9.
IEEE
[1]
A. Moerman and S. De Hert, “Cerebral oximetry: the standard monitor of the future?,” CURRENT OPINION IN ANESTHESIOLOGY, vol. 28, no. 6, pp. 703–709, 2015.
@article{7077209,
  abstract     = {Purpose of review: There is an increasing interest in the application of near-infrared spectroscopy (NIRS) as a monitoring tool in noncardiac surgery. This review summarizes the latest developments and current evidence for the use of NIRS in the noncardiac intraoperative setting.
Recent findings: Unanticipated intraoperative physiological disturbances and a substantial interpatient variability in the limits of cerebral autoregulation, pose our patients at risk for adverse cerebral outcome, if the brain is not monitored specifically. In addition to a means to monitor the brain, NIRS has been shown to allow an estimate of overall organ oxygenation. Preliminary data suggest a relationship between cerebral desaturation and both neurologic and major organ morbidity.
Summary: NIRS offers noninvasive monitoring of cerebral and overall organ oxygenation in a wide range of clinical scenarios. There is an increasing evidence that the optimized cerebral oxygenation is associated with improved outcomes in both neurologic and major organ morbidity in a variety of surgical settings.},
  author       = {Moerman, Anneliese and De Hert, Stefan},
  issn         = {0952-7907},
  journal      = {CURRENT OPINION IN ANESTHESIOLOGY},
  keywords     = {monitoring,brain,cerebral oximetry,noninvasive,near-infrared spectroscopy,NEAR-INFRARED SPECTROSCOPY,END-EXPIRATORY PRESSURE,ASSISTED PROSTATIC SURGERY,BEACH-CHAIR POSITION,OXYGEN-SATURATION,SHOULDER ARTHROSCOPY,TRENDELENBURG POSITION,BLOOD-PRESSURE,LIVER-TRANSPLANTATION,CAROTID-ENDARTERECTOMY},
  language     = {eng},
  number       = {6},
  pages        = {703--709},
  title        = {Cerebral oximetry: the standard monitor of the future?},
  url          = {http://dx.doi.org/10.1097/ACO.0000000000000256},
  volume       = {28},
  year         = {2015},
}

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