Key result
Intraoperative neuromonitoring during pediatric cardiac surgery currently lacks sufficient evidence to demonstrate an association with improved neurologic outcomes.
Why the study?
Does intraoperative multimodality neuromonitoring improve neurologic outcomes in pediatric patients undergoing congenital heart surgery?
Does intraoperative multimodality neuromonitoring improve neurologic outcomes in pediatric patients undergoing congenital heart surgery?
Current literature provides limited evidence that intraoperative neuromonitoring improves neurologic outcomes in pediatric cardiac surgery, highlighting the need for further clinical research on its utility and cost-effectiveness.
Lacks evidence to support routine neuromonitoring in pediatric cardiac surgery; leaves open need for prospective trials on efficacy and cost-effectiveness.
Brain injury remains a source of morbidity associated with congenital heart surgery. Intraoperative neuromonitoring is used by many centers to help minimize neurologic injury and improve outcomes. Neuromonitoring at our institution is performed using a combination of near-infrared spectroscopy, transcranial Doppler ultrasound, electroencephalography, and somatosensory evoked potentials. Adverse or concerning parameters instigate attempts at corrective intervention. A review of the literature regarding neuromonitoring studies in pediatric cardiac surgery shows that evidence is limited to demonstrate that intraoperative neuromonitoring is associated with improved neurologic outcomes. Further clinical research is needed to assess the utility and cost-effectiveness of intraoperative neuromonitoring for pediatric heart surgery.
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Clark et al. (2012) conducted a review in congenital heart surgery. Intraoperative neuromonitoring was evaluated on neurologic outcomes. Intraoperative neuromonitoring during pediatric cardiac surgery currently lacks sufficient evidence to demonstrate an association with improved neurologic outcomes.
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