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Newman MF, Mathew JP, Grocott HP, et al. Central nervous system injury associated with cardiac surgery. Lancet 2006; 368:694-703. This study provides interesting insight into brain injury associated with cardiac surgical procedure, with updated knowledge on the phenomenon.
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van Dijk D, Spoor M, Hijman R, et al., Octopus Study Group. Cognitive and cardiac outcomes 5 years after off-pump vs on-pump coronary artery bypass graft surgery. JAMA 2007; 297:701-708. This study demonstrates no differences between on-pump and off-pump coronary surgery in terms of cognitive and cardiac outcomes. The paper gives definitions of cognitive dysfunction and how to evaluate it.
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Sloan MA. Prevention of ischemic neurologic injury with intraoperative monitoring of selected cardiovascular and cerebrovascular procedures: roles of electroencephalography, somatosensory evoked potentials, transcranial Doppler, and near-infrared spectroscopy. Neurol Clin 2006; 24:631-645. In this study all neuromonitoring techniques for monitoring cardiothoracic and carotid vascular operations are discussed. The author draws an interesting conclusion on the lack of established monitoring.
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Polito A, Ricci Z, Di Chiara L, et al. Cerebral blood flow during cardiopulmonary bypass in pediatric cardiac surgery: the role of transcranial Doppler - a systematic review of the literature. Cardiovascular Ultrasound 2006; 4:47. This is a comprehensive review of neuromonitoring in pediatric congenital heart surgery.
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Moritz S, Kasprzak P, Arlt M, et al. Accuracy of cerebral monitoring in detecting cerebral ischemia during carotid endarterectomy: a comparison of transcranial Doppler sonography, near-infrared spectroscopy, stump pressure, and somatosensory evoked potentials. Anesthesiology 2007; 107:563-569. This paper presents a recent comparison of the accuracy of cerebral monitoring systems in detecting cerebral ischemia during carotid endarterectomy. It provides data on the sensitivity and specificity of each method studied.
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