Multimodal Neuromonitoring During Pediatric Cardiac Surgery
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| Format: | Artículo científico |
| Language: | en |
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Sociedade Brasileira de Cirurgia Cardiovascular
2022
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| _version_ | 1876460273776197632 |
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| author | Jyrson Guilherme Klamt |
| author_facet | Jyrson Guilherme Klamt |
| contents | Multimodal Neuromonitoring During Pediatric Cardiac Surgery Jyrson Guilherme Klamt Waynice Neiva de Paula Garcia Mariana de Carvalho Luis Vicente Garcia Antonio Carlos Menardi Medicina Near Child Anesthesia Neuroprotection infrared Spectroscopy Introduction: Neuromonitoring (electroencephalogram [EEG] and cerebral oximetry) is essential for appropriate anesthesia and neuroprotection assessment during pediatric cardiac surgery. Methods: We describe the intraoperative pediatric multimodal and multiparametric neuromonitoring pattern of the software system Neuron- Spectrum (Kandel®) that consists of continuous electroencephalogram (cEEG), spectral analysis, amplitude-integrated electroencephalogram (aEEG), depth of anesthesia monitor (NINDEX), and regional cerebral and somatic oximetry (near-infrared spectroscopy-INVOS™). A physiological algorithm for management using neuromonitoring and physiological data is also described. Results: Visual data examples are presented for interpretation of the cerebral perfusion and oxygenation, neurophysiological state, anesthesia depth, possible neurologic predictions, and identification of cerebral drug effects (EEG signature). Conclusion: The neuromonitoring model can be an effective tool for anesthesia control and to provide adequate cerebral oxygenation during surgery. 2022 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398970817014 https://www.redalyc.org/journal/3989/398970817014/ https://www.redalyc.org/journal/3989/398970817014/html/ https://www.redalyc.org/journal/3989/398970817014/398970817014.epub https://www.redalyc.org/journal/3989/398970817014/movil 10.21470/1678-9741-2020-0713 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.2 Vol.37 |
| format | Artículo científico |
| id | redalyc_398970817014 |
| institution | Redalyc |
| language | en |
| publishDate | 2022 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| spellingShingle | Multimodal Neuromonitoring During Pediatric Cardiac Surgery Jyrson Guilherme Klamt Medicina Near Child Anesthesia Neuroprotection infrared Spectroscopy Multimodal Neuromonitoring During Pediatric Cardiac Surgery Jyrson Guilherme Klamt Waynice Neiva de Paula Garcia Mariana de Carvalho Luis Vicente Garcia Antonio Carlos Menardi Medicina Near Child Anesthesia Neuroprotection infrared Spectroscopy Introduction: Neuromonitoring (electroencephalogram [EEG] and cerebral oximetry) is essential for appropriate anesthesia and neuroprotection assessment during pediatric cardiac surgery. Methods: We describe the intraoperative pediatric multimodal and multiparametric neuromonitoring pattern of the software system Neuron- Spectrum (Kandel®) that consists of continuous electroencephalogram (cEEG), spectral analysis, amplitude-integrated electroencephalogram (aEEG), depth of anesthesia monitor (NINDEX), and regional cerebral and somatic oximetry (near-infrared spectroscopy-INVOS™). A physiological algorithm for management using neuromonitoring and physiological data is also described. Results: Visual data examples are presented for interpretation of the cerebral perfusion and oxygenation, neurophysiological state, anesthesia depth, possible neurologic predictions, and identification of cerebral drug effects (EEG signature). Conclusion: The neuromonitoring model can be an effective tool for anesthesia control and to provide adequate cerebral oxygenation during surgery. 2022 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398970817014 https://www.redalyc.org/journal/3989/398970817014/ https://www.redalyc.org/journal/3989/398970817014/html/ https://www.redalyc.org/journal/3989/398970817014/398970817014.epub https://www.redalyc.org/journal/3989/398970817014/movil 10.21470/1678-9741-2020-0713 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.2 Vol.37 |
| title | Multimodal Neuromonitoring During Pediatric Cardiac Surgery |
| topic | Medicina Near Child Anesthesia Neuroprotection infrared Spectroscopy |
| url | https://www.redalyc.org/articulo.oa?id=398970817014 https://www.redalyc.org/journal/3989/398970817014/ https://www.redalyc.org/journal/3989/398970817014/html/ https://www.redalyc.org/journal/3989/398970817014/398970817014.epub https://www.redalyc.org/journal/3989/398970817014/movil |