Key result
In cardiac surgical patients, interventions were triggered by a drop in baseline NIRS values in 14.4% of patients, though 80% of these were also prompted by changes in standard monitoring parameters.
Why the study?
The study was conducted to determine the incidence and types of interventions triggered during a drop in baseline NIRS cerebral oxygenation values in consecutive cardiac surgical patients.
Does routine use of NIRS cerebral oxygenation monitoring trigger additional clinical interventions beyond standard monitoring in cardiac surgical patients?
Observational (n=1,972)
No
Does routine use of NIRS cerebral oxygenation monitoring trigger additional clinical interventions beyond standard monitoring in cardiac surgical patients?
Routine use of NIRS in cardiac surgery may not significantly alter clinical management beyond standard monitoring, as most interventions triggered by NIRS drops are also indicated by standard parameters.
NIRS rarely prompts interventions beyond standard monitoring in cardiac surgery; leaves open whether routine use improves outcomes.
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Bochmann et al. (2021) conducted an observational in Cardiac surgery (n=1,972). NIRS deviation of -20% from baseline vs. No NIRS deviation was evaluated on Incidence of interventions triggered during a drop of baseline NIRS values. In cardiac surgical patients, interventions were triggered by a drop in baseline NIRS values in 14.4% of patients, though 80% of these were also prompted by changes in standard monitoring parameters.
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