Cerebral perfusion monitoring in adult patients following cardiac surgery: an observational study.
- Publisher:
- Taylor and Francis Group
- Publication Type:
- Journal Article
- Citation:
- Contemporary Nurse, 2017, 53, (6), pp. 669-680
- Issue Date:
- 2017-12
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Cerebral perfusion monitoring in adult patients following cardiac surgery an observational study.pdf | 601.94 kB | Adobe PDF |
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Full metadata record
Field | Value | Language |
---|---|---|
dc.contributor.author | Slater, T | |
dc.contributor.author | Stanik-Hutt, J | |
dc.contributor.author |
Davidson, P https://orcid.org/0000-0003-2050-1534 |
|
dc.date.accessioned | 2022-09-09T04:11:37Z | |
dc.date.available | 2022-09-09T04:11:37Z | |
dc.date.issued | 2017-12 | |
dc.identifier.citation | Contemporary Nurse, 2017, 53, (6), pp. 669-680 | |
dc.identifier.issn | 1037-6178 | |
dc.identifier.issn | 1839-3535 | |
dc.identifier.uri | http://hdl.handle.net/10453/161573 | |
dc.description.abstract | BACKGROUND: Following adult cardiac surgery, often difficult to detect fluctuations in regional cerebral perfusion can contribute to strokes. Optimal cerebral perfusion remains elusive and traditional monitoring strategies do not consistently identify acute changes. Non-invasive cerebral oximetry may detect perfusion variations. OBJECTIVE: To assess the feasibility of postoperative non-invasive cerebral oximetry monitoring. METHODS: Non-invasive cerebral oximetry was performed on adult aortic valve surgery patients in a cardiac surgical intensive care unit. Monitoring feasibility was assessed using an investigator-developed, data extraction tool. RESULTS: Non-invasive cerebral oximetry was completed in 94% of patients. Sixty percent had values that fell below pre-set ischemic threshold. Nurses reported monitoring was feasible, and they perceived identifying deleterious cerebral perfusion trends may improve patient care. CONCLUSIONS: Prevalence of low cerebral oximetry values underscores the importance of increasing sensitivity of monitoring tools. Further evaluation is required to assess this modality and the role of nurses in optimizing neurocognitive outcomes. Impact statement: Cerebral oximetry monitoring may help identify adult patients at risk of neurological complications after cardiac surgery, and as a consequence initiate definitive therapeutic strategies. | |
dc.format | Print-Electronic | |
dc.language | eng | |
dc.publisher | Taylor and Francis Group | |
dc.relation.ispartof | Contemporary Nurse | |
dc.relation.isbasedon | 10.1080/10376178.2017.1422392 | |
dc.rights | info:eu-repo/semantics/closedAccess | |
dc.subject | 1110 Nursing | |
dc.subject.classification | Nursing | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Aged | |
dc.subject.mesh | Aged, 80 and over | |
dc.subject.mesh | Aortic Valve | |
dc.subject.mesh | Cardiac Surgical Procedures | |
dc.subject.mesh | Female | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Male | |
dc.subject.mesh | Mid-Atlantic Region | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Monitoring, Physiologic | |
dc.subject.mesh | Oximetry | |
dc.subject.mesh | Perfusion | |
dc.subject.mesh | Postoperative Care | |
dc.subject.mesh | Stroke | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Aged | |
dc.subject.mesh | Aged, 80 and over | |
dc.subject.mesh | Aortic Valve | |
dc.subject.mesh | Cardiac Surgical Procedures | |
dc.subject.mesh | Female | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Male | |
dc.subject.mesh | Mid-Atlantic Region | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Monitoring, Physiologic | |
dc.subject.mesh | Oximetry | |
dc.subject.mesh | Perfusion | |
dc.subject.mesh | Postoperative Care | |
dc.subject.mesh | Stroke | |
dc.subject.mesh | Aortic Valve | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Oximetry | |
dc.subject.mesh | Monitoring, Physiologic | |
dc.subject.mesh | Postoperative Care | |
dc.subject.mesh | Cardiac Surgical Procedures | |
dc.subject.mesh | Perfusion | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Aged | |
dc.subject.mesh | Aged, 80 and over | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Mid-Atlantic Region | |
dc.subject.mesh | Female | |
dc.subject.mesh | Male | |
dc.subject.mesh | Stroke | |
dc.title | Cerebral perfusion monitoring in adult patients following cardiac surgery: an observational study. | |
dc.type | Journal Article | |
utslib.citation.volume | 53 | |
utslib.location.activity | United States | |
utslib.for | 1110 Nursing | |
pubs.organisational-group | /University of Technology Sydney | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Health | |
utslib.copyright.status | closed_access | * |
pubs.consider-herdc | false | |
dc.date.updated | 2022-09-09T04:11:34Z | |
pubs.issue | 6 | |
pubs.publication-status | Published | |
pubs.volume | 53 | |
utslib.citation.issue | 6 |
Abstract:
BACKGROUND: Following adult cardiac surgery, often difficult to detect fluctuations in regional cerebral perfusion can contribute to strokes. Optimal cerebral perfusion remains elusive and traditional monitoring strategies do not consistently identify acute changes. Non-invasive cerebral oximetry may detect perfusion variations. OBJECTIVE: To assess the feasibility of postoperative non-invasive cerebral oximetry monitoring. METHODS: Non-invasive cerebral oximetry was performed on adult aortic valve surgery patients in a cardiac surgical intensive care unit. Monitoring feasibility was assessed using an investigator-developed, data extraction tool. RESULTS: Non-invasive cerebral oximetry was completed in 94% of patients. Sixty percent had values that fell below pre-set ischemic threshold. Nurses reported monitoring was feasible, and they perceived identifying deleterious cerebral perfusion trends may improve patient care. CONCLUSIONS: Prevalence of low cerebral oximetry values underscores the importance of increasing sensitivity of monitoring tools. Further evaluation is required to assess this modality and the role of nurses in optimizing neurocognitive outcomes. Impact statement: Cerebral oximetry monitoring may help identify adult patients at risk of neurological complications after cardiac surgery, and as a consequence initiate definitive therapeutic strategies.
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