Neuroprotection during pediatric cardiac anesthesia

Stephen J. Kimatian, Erin S. Williams

Research output: Chapter in Book/Report/Conference proceedingChapter


This chapter focuses on the neurologic outcomes of patients who have undergone congenital heart surgery. It presents a case study of a 3-day-old neonate with a history significant for hypoplastic left heart syndrome. In addition to standard ASA monitors, intraoperative monitoring included an arterial line, central venous line, and near infrared spectroscopy (NIRS). Cerebral injury after cardiac surgery continues to be a significant source of morbidity, and there are numerous pharmacologic and nonpharmacologic modalities that have been implemented to prevent such injury. With many patients surviving very complex congenital heart surgeries, the anesthesiologist should lead the way in preventing, assessing, and treating neurologic injury in order to obtain the highest quality of life possible for these children. While intraoperative neurologic monitoring for pediatric cardiac surgery is still a relatively new science, it shows a great deal of promise for future application in minimizing cerebral injury and optimizing neurodevelopmental outcome.

Original languageEnglish (US)
Title of host publicationCase Studies in Neuroanesthesia and Neurocritical Care
PublisherCambridge University Press
Number of pages5
ISBN (Electronic)9780511997426
ISBN (Print)9780521193801
StatePublished - Jan 1 2011


  • Congenital heart surgery
  • Hypoplastic left heart syndrome
  • Intraoperative neurologic monitoring
  • Neuroprotection
  • Pediatric cardiac anesthesia

ASJC Scopus subject areas

  • Medicine(all)


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