• Neurologic clinics · Nov 2006

    Review

    Prevention of ischemic neurologic injury with intraoperative monitoring of selected cardiovascular and cerebrovascular procedures: roles of electroencephalography, somatosensory evoked potentials, transcranial Doppler, and near-infrared spectroscopy.

    • Michael A Sloan.
    • Division of Neurology, Neuroscience and Spine Institute, Carolinas Medical Center, Charlotte, NC 28207, USA. michael.sloan@carolinashealthcare.org
    • Neurol Clin. 2006 Nov 1;24(4):631-45.

    AbstractAll neuromonitoring techniques, although imperfect, provide useful information for monitoring cardiothoracic and carotid vascular operations. They may be viewed as providing complementary information, which may help surgical technique and, as a result, possibly improve clinical outcomes. As of this writing, the efficacy of TCD and NIRS monitoring during cardiothoracic and vascular surgery cannot be considered established. Well designed, prospective, adequately powered, double-blind, and randomized outcome studies are needed to determine the optimal neurologic monitoring modality (or modalities), in specific surgical settings.

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