OBJECTIVE: Although adverse neurologic outcomes are common complications of cardiac surgery, intraoperative brain monitoring has not received adequate attention. The aim of the present study was to evaluate the effectiveness of multimodal brain monitoring in the prevention of major @entity1545 and reducing the duration of mechanical ventilation, intensive care unit, and postoperative hospital stays after cardiac surgery. DESIGN: A retrospective, observational, controlled study. SETTING: A single-center regional hospital. @entity1 : One thousand seven hundred twenty-one @entity1 who had undergone cardiac surgery with cardiopulmonary bypass from July 2007 to July 2010. One hundred sixty-six @entity1 with multimodal brain monitoring and a control group without brain monitoring (N = 1,555) were compared retrospectively. INTERVENTIONS: Multimodal brain monitoring was performed for 166 @entity1 , consisting of intraoperative recordings of somatosensory-evoked potentials, electroencephalography, and transcranial Doppler. MEASUREMENTS AND MAIN RESULTS: The incidence of major @entity16 and the duration of mechanical ventilation, intensive care unit, and postoperative hospital stays were considered. @entity1 with brain monitoring had a significantly lower incidence of perioperative major @entity16 (0%) than those without monitoring (4.06%, p = 0.01) and required significantly shorter periods of mechanical ventilation (p = 0.001) and intensive care unit stays (p = 0.01) than controls. The length of postoperative hospital stays did not differ significantly between the 2 groups (p = 0.57). CONCLUSIONS: This preliminary study suggests that multimodal brain monitoring can reduce the incidence of @entity16 as well as hospital costs associated with post-cardiac surgery @entity1 care. Furthermore, intraoperative brain monitoring provides useful information about brain functioning, blood flow velocity, and metabolism, which may guide the anesthesiologist during surgery.

Multimodal brain monitoring reduces major XXXX in cardiac surgery.

@entity1545 :: ('MESH:D020214', 'Disease') :: ['brain injury'] @entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient', 'PARTICIPANTS'] @entity16 :: ('MESH:D009422', 'Disease') :: ['neurologic complications']
@entity16 :: (MESH:D009422,Disease) :: ['neurologic complications']
