TY - JOUR
T1 - Cerebral oxygen desaturation is associated with early postoperative neuropsychological dysfunction in patients undergoing cardiac surgery
AU - Yao, Fun Sun F.
AU - Tseng, Chia Chih A.
AU - Ho, Chee Yueh A.
AU - Levin, Serle K.
AU - Illner, Pavel
PY - 2004/10
Y1 - 2004/10
N2 - Objective: To evaluate the relationship between cerebral oxygen saturation and neuropsychological dysfunction after cardiac surgery. Design: Prospective and observational study. Setting: Operating room and cardiac floor of a university hospital. Participants: One hundred one patients undergoing elective cardiac surgery with cardiopulmonary bypass Intervention: Bilateral noninvasive cerebral oxygen saturations were monitored over the forehead. The anesthetic and surgical techniques were performed as usual, and no interventions were attempted based on the monitor. Neuropsychological outcome was assessed by the Mini-Mental State Examination (MMSE) and the antisaccadic eye movement test (ASEM). Measurements and Main Results: Preoperative baseline values of cerebral oxygen saturation (rSO2) were 58.6% ± 10.2%. Patients with the nadir rSO2 <35% had significantly higher incidences of postoperative ASEM and MMSE impairments than those with rSO2 always above 35% (44% and 33% v 12% and 9%, respectively). Patients with areas of rSO2 <40% for more than 10 minutes·% presented with a significantly higher incidence of postoperative ASEM and MMSE impairments than those with areas of rSO2 <40% for less than 10 minutes·% (42% and 32% v 13% and 10%, respectively). Patients with postoperative ASEM or MMSE impairment had significantly lower nadir rSO2 and significantly larger areas of rSO2 <40%, <45%, and <50% than those with normal postoperative neuropsychological outcome. However, multivariate logistic regression analysis showed that areas of rSO2 <40% were the only predictor for both postoperative ASEM and MMSE impairments. Conclusions: Intraoperative cerebral oxygen desaturation is associated with early postoperative neuropsychological dysfunction in patients undergoing cardiac surgery with cardiopulmonary bypass. However, it remains to be determined whether interventions to maintain adequate cerebral oxygenation may improve neuropsychological outcome.
AB - Objective: To evaluate the relationship between cerebral oxygen saturation and neuropsychological dysfunction after cardiac surgery. Design: Prospective and observational study. Setting: Operating room and cardiac floor of a university hospital. Participants: One hundred one patients undergoing elective cardiac surgery with cardiopulmonary bypass Intervention: Bilateral noninvasive cerebral oxygen saturations were monitored over the forehead. The anesthetic and surgical techniques were performed as usual, and no interventions were attempted based on the monitor. Neuropsychological outcome was assessed by the Mini-Mental State Examination (MMSE) and the antisaccadic eye movement test (ASEM). Measurements and Main Results: Preoperative baseline values of cerebral oxygen saturation (rSO2) were 58.6% ± 10.2%. Patients with the nadir rSO2 <35% had significantly higher incidences of postoperative ASEM and MMSE impairments than those with rSO2 always above 35% (44% and 33% v 12% and 9%, respectively). Patients with areas of rSO2 <40% for more than 10 minutes·% presented with a significantly higher incidence of postoperative ASEM and MMSE impairments than those with areas of rSO2 <40% for less than 10 minutes·% (42% and 32% v 13% and 10%, respectively). Patients with postoperative ASEM or MMSE impairment had significantly lower nadir rSO2 and significantly larger areas of rSO2 <40%, <45%, and <50% than those with normal postoperative neuropsychological outcome. However, multivariate logistic regression analysis showed that areas of rSO2 <40% were the only predictor for both postoperative ASEM and MMSE impairments. Conclusions: Intraoperative cerebral oxygen desaturation is associated with early postoperative neuropsychological dysfunction in patients undergoing cardiac surgery with cardiopulmonary bypass. However, it remains to be determined whether interventions to maintain adequate cerebral oxygenation may improve neuropsychological outcome.
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U2 - 10.1053/j.jvca.2004.07.007
DO - 10.1053/j.jvca.2004.07.007
M3 - Article
C2 - 15578464
AN - SCOPUS:5644257026
SN - 1053-0770
VL - 18
SP - 552
EP - 558
JO - Journal of Cardiothoracic and Vascular Anesthesia
JF - Journal of Cardiothoracic and Vascular Anesthesia
IS - 5
ER -