Key result
This review discusses current practices, treatable risk factors, and future directions for neurocognitive monitoring and care during pediatric cardiopulmonary bypass.
This review highlights the importance of identifying treatable risk factors and advancing perioperative neuromonitoring to mitigate neurologic injury in pediatric patients with congenital heart disease.
May guide risk-factor management during pediatric CPB; leaves open optimal neuromonitoring protocols pending prospective trials.
Neurologic injury in patients with congenital heart disease remains an important source of morbidity and mortality. Advances in surgical repair and perioperative management have resulted in longer life expectancies for these patients. Current practice and research must focus on identifying treatable risk factors for neurocognitive dysfunction, advancing methods for perioperative neuromonitoring, and refining treatment and care of the congenital heart patient with potential neurologic injury. Techniques for neuromonitoring and future directions will be discussed.
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Lee et al. (2008) conducted a review in Congenital heart disease. Neurocognitive monitoring and care was evaluated. This review discusses current practices, treatable risk factors, and future directions for neurocognitive monitoring and care during pediatric cardiopulmonary bypass.
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