Survey on the clinical assessment and utility
of near-infrared cerebral oximetry in cardiac surgery.
Zacharias, D.G., Longford, N.T., Body, S.C.,
et al.
Abstract
Near-infrared cerebral oximetry is increasingly used for monitoring during
cardiac surgery. Nonetheless, the scientific basis for incorporating
this technology into clinical practice, the indications for when to do so,
and standard diagnostic and treatment algorithms for defining abnormal values
are yet to be rigorously defined. We hypothesized that (i) there would be
variation in clinical use and practices for NIRS and (ii) variation in
management of patients when clinicians are provided with NIRS information.
In order to test this hypothesis, we sought to assess the nature and
strength of response heterogeneity among anesthesiologists and cardiac
perfusionists when provided with cardiac surgery patient scenarios
and cerebral oximetry data.
In Journal of Cardiothoracic and Vascular Anesthesia,
28, 308-316, 2014.