Cerebral Oximetry Monitoring

In clinical trials, cerebral desaturation during cardiac surgery is associated with:

• Postoperative major organ morbidity and mortality([FOOTNOTE=Murkin JM, Adams SJ, Novick RJ, et al. Monitoring brain oxygen saturation during coronary bypass surgery: a randomized, prospective study. Anesth Analg. 2007;104(1):51-58.],[ANCHOR=],[LINK=])
• Neurologic injury^2,([FOOTNOTE=Slater JP, Guarino T, Stack J, et al. Cerebral oxygen desaturation predicts cognitive decline and longer hospital stay after cardiac surgery. Ann Thorac Surg. 2009;87(1):36-44; discussion 44-35.],[ANCHOR=],[LINK=])^,([FOOTNOTE=Yao FS, Tseng CC, Ho CY, Levin SK, Illner P. Cerebral oxygen desaturation is associated with early postoperative neuropsychological dysfunction in patients undergoing cardiac surgery. J Cardiothorac Vasc Anesth. 2004;18(5):552-558.],[ANCHOR=],[LINK=])
• Increased time on mechanical ventilation([FOOTNOTE=Goldman S, Sutter F, Ferdinand F, Trace C. Optimizing intraoperative cerebral oxygen delivery using noninvasive cerebral oximetry decreases the incidence of stroke for cardiac surgical patients. Heart Surg Forum. 2004;7(5):E376-381.],[ANCHOR=],[LINK=])
• Prolonged hospital stay^3,4

Cerebral oximetry guided identification of cerebral desaturation coupled with an interventional algorithm targeting common causes of inadequate tissue oxygenation can decrease the burden of cerebral oxygen desaturation.¹