Is baseline cerebral oximetry a better predictor than carotid scan for postoperative delirium in cardiac surgery?
Guidelines recommend screening patients for carotid-artery stenosis, but unfortunately, measurement of baseline cerebral oximetry levels is still not a routine practice prior to cardiac surgery. We report a 41-year-old woman who presented with a normal carotid scan and unexpectedly low baseline cere...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Saudi Heart Association
2018-07-01
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| Series: | Journal of the Saudi Heart Association |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1016731517301367 |
| _version_ | 1818269175571808256 |
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| author | Fayaz Mohammed Khazi Faouzi Al-Safadi Mohannad M.R. Al Asaad Obaid Aljassim |
| author_facet | Fayaz Mohammed Khazi Faouzi Al-Safadi Mohannad M.R. Al Asaad Obaid Aljassim |
| author_sort | Fayaz Mohammed Khazi |
| collection | DOAJ |
| description | Guidelines recommend screening patients for carotid-artery stenosis, but unfortunately, measurement of baseline cerebral oximetry levels is still not a routine practice prior to cardiac surgery. We report a 41-year-old woman who presented with a normal carotid scan and unexpectedly low baseline cerebral oximetry levels. She had delayed postoperative recovery and discharge from hospital following her coronary-artery bypass surgery. This case report reiterates the prognostic significance of cerebral oximetry in the preoperative checkup and the association of low intraoperative values to postoperative cerebral impairment. It can also be identified as a comparatively better tool for preventing cognitive disturbances after cardiac surgery. Keywords: Cerebral oximetry, Cardiac surgery, Post-operative, Cognitive, Dysfunction |
| first_indexed | 2024-12-12T20:50:13Z |
| format | Article |
| id | doaj.art-93afbc758ba549bda72e3d7fe76774c2 |
| institution | Directory Open Access Journal |
| issn | 1016-7315 |
| language | English |
| last_indexed | 2024-12-12T20:50:13Z |
| publishDate | 2018-07-01 |
| publisher | Saudi Heart Association |
| record_format | Article |
| series | Journal of the Saudi Heart Association |
| spelling | doaj.art-93afbc758ba549bda72e3d7fe76774c22022-12-22T00:12:26ZengSaudi Heart AssociationJournal of the Saudi Heart Association1016-73152018-07-01303260263Is baseline cerebral oximetry a better predictor than carotid scan for postoperative delirium in cardiac surgery?Fayaz Mohammed Khazi0Faouzi Al-Safadi1Mohannad M.R. Al Asaad2Obaid Aljassim3Department of Cardiothoracic Surgery, Dubai Hospital, Al Baraha, Dubai, United Arab Emirates; Corresponding author at: Consultant Cardiothoracic Anesthetist, Dubai Hospital, Al Khaleeja Street, Al Baraha, Dubai, United Arab Emirates.Department of Cardiothoracic Surgery, Dubai Hospital, Al Baraha, Dubai, United Arab EmiratesDepartment of Cardiothoracic Surgery, Dubai Hospital, Al Baraha, Dubai, United Arab EmiratesDepartment of Cardiothoracic Surgery, Dubai Hospital, Al Baraha, Dubai, United Arab EmiratesGuidelines recommend screening patients for carotid-artery stenosis, but unfortunately, measurement of baseline cerebral oximetry levels is still not a routine practice prior to cardiac surgery. We report a 41-year-old woman who presented with a normal carotid scan and unexpectedly low baseline cerebral oximetry levels. She had delayed postoperative recovery and discharge from hospital following her coronary-artery bypass surgery. This case report reiterates the prognostic significance of cerebral oximetry in the preoperative checkup and the association of low intraoperative values to postoperative cerebral impairment. It can also be identified as a comparatively better tool for preventing cognitive disturbances after cardiac surgery. Keywords: Cerebral oximetry, Cardiac surgery, Post-operative, Cognitive, Dysfunctionhttp://www.sciencedirect.com/science/article/pii/S1016731517301367 |
| spellingShingle | Fayaz Mohammed Khazi Faouzi Al-Safadi Mohannad M.R. Al Asaad Obaid Aljassim Is baseline cerebral oximetry a better predictor than carotid scan for postoperative delirium in cardiac surgery? Journal of the Saudi Heart Association |
| title | Is baseline cerebral oximetry a better predictor than carotid scan for postoperative delirium in cardiac surgery? |
| title_full | Is baseline cerebral oximetry a better predictor than carotid scan for postoperative delirium in cardiac surgery? |
| title_fullStr | Is baseline cerebral oximetry a better predictor than carotid scan for postoperative delirium in cardiac surgery? |
| title_full_unstemmed | Is baseline cerebral oximetry a better predictor than carotid scan for postoperative delirium in cardiac surgery? |
| title_short | Is baseline cerebral oximetry a better predictor than carotid scan for postoperative delirium in cardiac surgery? |
| title_sort | is baseline cerebral oximetry a better predictor than carotid scan for postoperative delirium in cardiac surgery |
| url | http://www.sciencedirect.com/science/article/pii/S1016731517301367 |
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