Near-infrared spectroscopy in adult cardiac surgery： between conflicting results and unexpected uses

作     者：Antonio Nenna Raffaele Barbato Salvatore Matteo Greco Giuseppe Pugliese Mario Lusini Elvio Covino Massimo Chello 

作者机构：Department of Cardiovascular Surgery Universita Campus Bio-Medico di Roma Rome Italy 

出 版 物：《Journal of Geriatric Cardiology》 (老年心脏病学杂志（英文版）)

年 卷 期：2017年第14卷第11期

页      面：659-661页

核心收录：

学科分类：090603[农学-临床兽医学] 0821[工学-纺织科学与工程] 08[工学] 09[农学] 0906[农学-兽医学] 082103[工学-纺织化学与染整工程] 

主　　题：Acute kidney injury Aortic valve stenosis Cardiac surgery Cerebral oximetry Near infrared spectroscopy 

摘      要：Neurological complications after cardiac surgery, rang- ing from permanent stroke to transient dysfunction, repre- sent a key issue in the management of geriatric patients. Many patients aged 70 or more have history of neurological dysfunctions, which increases the risk of complications and sequelae, Severe neurologic diseases, such as strokes, occur in up to 6% of patients undergoing cardiac surgery. Therefore, in the setting of fragile patients, prevention is more important than treatment. There are several intraop- erative mechanisms of neurological injury, such as embo- lism, inflammation, intraoperative anemia,