Title of article :
The Predictive Power of Near-Infrared Spectroscopy in Improving Cognitive Problems in Patients Undergoing Brain Surgeries: A Systematic Review
Author/Authors :
Mokhtari ، Majid Department of Internal Medicine - Loghman Hakim Hospital - Shahid Beheshti University of Medical Sciences , Amirdosara ، Mahdi Anesthesiology Research Center, Loghman Hakim Hospital - Shahid Beheshti University of Medical Sciences , Goharani ، Reza Department of Anesthesiology - Shahid Beheshti University of Medical Science , Zangi ، Masood Anesthesiology Research Center, Loghman Hakim Hospital - Shahid Beheshti University of Medical Sciences , Tafrishinejad ، Arash Loghman Hakim Hospital - Shahid Beheshti University of Medical Sciences , Nashibi ، Masoud Shahid Beheshti University of Medical Sciences , Dabbagh ، Ali Anesthesiology Research Center - Shahid Beheshti University of Medical Sciences , Sadeghi ، Hassan Anesthesiology Research Center, Loghman Hakim Hospital - Shahid Beheshti University of Medical Sciences , Nateghinia ، Saeedeh Skull Base Research Center, Loghman Hakim Hospital - Shahid Beheshti University of Medical Sciences , Hajiesmaeili ، Mohammadreza Critical Care Quality Improvement Research Center, Loghman Hakim Hospital - Shahid Beheshti University of Medical Sciences , Yousefi-Banaem ، Hossein Skull Base Research Center, Loghman Hakim Hospital - Shahid Beheshti University of Medical Sciences , Sayehmiri ، Fatemeh Student Research Committee, Faculty of Medicine - Shahid Beheshti University of Medical Sciences
Abstract :
One of the main objectives in neurosurgical procedures is the prevention of cerebral ischemia and hypoxia leading to secondary brain injury. Different methods for early detection of intraoperative cerebral ischemia and hypoxia have been used. Near-infrared spectroscopy (NIRS) is a simple, non-invasive method for monitoring cerebral oxygenation increasingly used today. The aim of this study was to systematically review the brain monitoring with NIRS in neurosurgery. The search process resulted in the detection of 324 articles using valid keywords on the electronic databases, including Embase, PubMed, Scopus,Web of Science, and Cochrane Library. Subsequently, the full texts of 34 studies were reviewed, and finally 11 articles (seven prospective studies, three retrospective studies, and one randomized controlled trial) published from 2005 to 2020 were identified as eligible for systematic review. Meta-analysis was not possible due to high heterogeneity in neurological and neurosurgical conditions of patients, expression of different clinical outcomes, and different standard reference tests in the studies reviewed. The results showed that NIRS is a noninvasive cerebral oximetry that provides continuous and measurable cerebral oxygenation information and can be used in a variety of clinical settings.
Keywords :
Hospital Mortality , Cerebral Ischemia , Regional Cerebral Oxygen Saturation , Near , Infrared Oximetry
Journal title :
Anesthesiology and Pain Medicine
Journal title :
Anesthesiology and Pain Medicine
