The effect of near-infrared spectroscopy (nirs) guided intraoperative care on neurocognitive and functional outcomes of cardiac surgery: a systematic review and meta-analysis of randomised controlled trials

IF 10.3 1区医学 Q1 ANESTHESIOLOGY

British journal of anaesthesia Pub Date : 2026-09-22 DOI:10.1016/j.bja.2026.09.012

Talal Abdali MD, Ellen Connelly MD, Emilie Belley-Côté MD PhD, Behnam Sadeghirad PharmD MPH PhD, Vladmir Lomivorotov MD PhD, Rachel Couban MISt, Maia Shen MD, Ali Usman MD MSc, C. Scott Brudney MBChB, Nikesh Chander MD (Candidate), Alain Deschamps MD PhD, Jessica Spence MD PhD

引用次数: 0

Abstract

Adverse neurocognitive and functional outcomes are common after cardiac surgery. Cerebral near-infrared spectroscopy (NIRS) monitors regional cerebral oxygen saturation, allowing clinicians to detect and reverse cerebral desaturation. We conducted a systematic review and meta-analysis of randomised controlled trials (RCTs) to evaluate whether intraoperative NIRS monitoring improves neurocognitive outcomes after cardiac surgery.

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近红外光谱（nirs）指导的术中护理对心脏手术神经认知和功能结局的影响：随机对照试验的系统回顾和荟萃分析

心脏手术后不良的神经认知和功能结果是常见的。脑近红外光谱（NIRS）监测区域脑氧饱和度，允许临床医生检测和逆转脑去饱和。我们对随机对照试验（RCTs）进行了系统回顾和荟萃分析，以评估术中NIRS监测是否能改善心脏手术后的神经认知结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

British journal of anaesthesia 医学-麻醉学

CiteScore

13.50

自引率

7.10%

发文量

488

审稿时长

27 days

期刊介绍： The British Journal of Anaesthesia (BJA) is a prestigious publication that covers a wide range of topics in anaesthesia, critical care medicine, pain medicine, and perioperative medicine. It aims to disseminate high-impact original research, spanning fundamental, translational, and clinical sciences, as well as clinical practice, technology, education, and training. Additionally, the journal features review articles, notable case reports, correspondence, and special articles that appeal to a broader audience. The BJA is proudly associated with The Royal College of Anaesthetists, The College of Anaesthesiologists of Ireland, and The Hong Kong College of Anaesthesiologists. This partnership provides members of these esteemed institutions with access to not only the BJA but also its sister publication, BJA Education. It is essential to note that both journals maintain their editorial independence. Overall, the BJA offers a diverse and comprehensive platform for anaesthetists, critical care physicians, pain specialists, and perioperative medicine practitioners to contribute and stay updated with the latest advancements in their respective fields.