We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Dispositivos no invasivos de neuromonitorización para la detección de isquemia cerebral intraoperatoria: una revisión exploratoria.
- Authors
García-Espitia, Esteban; Pacheco-Alba, Juan Pablo; Tuta-Quintero, Eduardo; CharryBorrero, David; Botero-Rosas, Daniel
- Abstract
Introduction: Cerebral ischemia is one of the most catastrophic perioperative complications. Currently, there are several non-invasive devices for intraoperative detection of cerebral ischemia. Objective: Carry out a systematic review of the literature to evaluate the diagnostic validity of these methods for detecting intraoperative cerebral ischemia under general anesthesia, because nowadays there is no gold standard for these patients. Methods: PubMed, Science Direct, Web of Science, and Ovid databases we search for experimental and observational analytical studies, carried out in adults undergoing surgery under general anesthesia, with intraoperative neuromonitoring devices, analysis of neurological results, and evaluation of diagnostic accuracy of each method were included. Results: 22 articles were included for the systematic review; The diagnostic validity of the devices was very heterogeneous and depended on the method used, including the patients, the cut-off point for detecting heart failure, and the reference standard. Conclusion: There is great variability in the reported diagnostic validity. Studies comparing multiple intraoperative neurological monitoring devices in patients under general anesthesia simultaneously and with the same reference standard are required to obtain precise values for their diagnostic precision.
- Subjects
CEREBRAL ischemia; INTRAOPERATIVE monitoring; ANESTHESIA in neurology; PEOPLE with mental illness; MENTAL health; NEUROSURGERY
- Publication
Gaceta Médica de Caracas, 2021, Vol 129, Issue 4, p933
- ISSN
0367-4762
- Publication type
Article
- DOI
10.47307/gmc.2021.129.4.12