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Iranian Heart Journal، جلد ۲۵، شماره ۱، صفحات ۶۶-۷۳

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عنوان انگلیسی Relationship Between Cerebral Oximetry Monitoring and Mixed Venous Oxygen Saturation During Cardiopulmonary Bypass and Postoperative Cognitive Impairment
چکیده انگلیسی مقاله Background: We assessed the relationship between postoperative cognitive impairment and cerebral oximetry (INVOS) and mixed venous oxygen saturation (SvO2) during cardiopulmonary bypass (CPB).   Methods: This observational cohort study enrolled 110 patients and divided them into 2 groups of 55 subjects. After the exclusion of 5 patients in the SvO2 group and 3 in the INVOS group, the final analysis was conducted on 50 and 52 patients in the former and latter groups, respectively. The Mini-Mental State ‎Examination (MMSE) score was used to assess cognitive impairment in the patients on the second and third postoperative days. SPSS software, version 24, was used for statistical analysis. ‎   Results: On the second postoperative day, the frequency of cognitive dysfunction was 4% in the SvO2 group and 3.8% in the INVOS group ‎‎ (P = 0.73). Three days after surgery, the incidence of cognitive ‎dysfunction in the SvO2 and INVOS groups was 2% and 1.9% (P = 0.49), respectively. No statistically significant difference was observed between the 2 groups concerning the incidence of cognitive dysfunction after surgery with CPB.   Conclusions: Our results indicated that cerebral tissue perfusion monitoring by INVOS could be replaced with the SvO2 approach ‏without increasing the incidence of cognitive dysfunction ‏compared with INVOS in adult cardiac surgery using CPB. (Iranian Heart Journal 2024; 25(1): 66-73)
کلیدواژه‌های انگلیسی مقاله Cardiopulmonary bypass, Cognitive disorders, Tissue perfusion, cerebral oxygen saturation, Mixed venous oxygen saturation

نویسندگان مقاله Samira Orouji Omid |
Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.

Hamid Pairovi |
Nursing Care Research Center, Iran University of Medical Sciences, Tehran, IR Iran.

Rasoul Azarfarin |
Congenital Heart Disease Research Center, Rajaie Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.

Mohsen Ziyaeifard |
Congenital Heart Disease Research Center, Rajaie Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.

Maryam Abedzadeh |
Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.

Parvin Vahid |
Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.

Seyed Salaheddin Nabavi |
Department of General Surgery, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran.


نشانی اینترنتی http://journal.iha.org.ir/article_186591_88862e1c4140b01da3067d2c300c56ff.pdf
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