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Ann Thorac Surg 1995;59:1289-1295
© 1995 The Society of Thoracic Surgeons
Department of Anaesthesia, University Hospital, University of Western Ontario, London, Ontario, Canada; Department of Psychiatry, University College London Medical School, London, United Kingdom; Department of Anesthesia, The Bowman Gray School of Medicine of Wake Forest University, Winston Salem, North Carolina; and Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina
Dr Murkin, Department of Anaesthesia, University Hospital, 339 Windermere Rd, London, Ont, Canada N6A 5A5.
| The first 300 words of the full text of this article appear below. |
At the recent meeting CNS Dysfunction After Cardiac Surgery: Defining the Problem, held December 10 and 11 in Fort Lauderdale, FL, a draft statement outlining proposed criteria for the assessment of central nervous system (CNS) outcomes after cardiac surgery was circulated beforehand to all registrants and invited speakers. The intent of the draft statement was to act as a focus for discussion by the audience of assembled experts from diverse disciplines including psychology, neuropsychology, neurology, neuroradiology, brain ischemia research, anesthesia, cardiovascular surgery, and epidemiology and biostatistics. After a 12-hour lecture program in which issues relevant to neurobehavioral outcome research were presented by a multidisciplinary group of international experts, the last 4 hours of the conference was devoted to an open discussion and critique of the draft Statement of Consensus. These proceedings were audiotaped and transcribed, and a version of the discussion, edited for syntax, follows.
For clarity, the approved Consensus Statement is presented first, followed by a transcription of the point by point discussion of each of the statements appearing in the original draft. Where possible, speakers have been identified and are listed at the end.
Consensus Statement (Approved)
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S. Dogan, T. Aybek, P. S. Risteski, F. Detho, A. Rapp, G. Wimmer-Greinecker, and A. Moritz Minimally Invasive Port Access Versus Conventional Mitral Valve Surgery: Prospective Randomized Study Ann. Thorac. Surg., February 1, 2005; 79(2): 492 - 498. [Abstract] [Full Text] [PDF] |
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E. Iriz, F. Kolbakir, H. Akar, B. Adam, and H. T. Keceligil Comparison of Hydroxyethyl Starch and Ringer Lactate as a Prime Solution Regarding S-100{beta} Protein Levels and Informative Cognitive Tests in Cerebral Injury Ann. Thorac. Surg., February 1, 2005; 79(2): 666 - 671. [Abstract] [Full Text] [PDF] |
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P. Wahrborg, J. E. Booth, T. Clayton, F. Nugara, J. Pepper, W. S. Weintraub, U. Sigwart, R. H. Stables, and for the SoS Neuropsychology Substudy Investigators Neuropsychological Outcome After Percutaneous Coronary Intervention or Coronary Artery Bypass Grafting: Results From the Stent or Surgery (SoS) Trial Circulation, November 30, 2004; 110(22): 3411 - 3417. [Abstract] [Full Text] [PDF] |
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S. Bar-Yosef, M. Anders, G. B. Mackensen, L. K. Ti, J. P. Mathew, B. Phillips-Bute, R. H. Messier, H. P. Grocott, and the Neurological Outcome Research Group and CARE I Aortic Atheroma Burden and Cognitive Dysfunction After Coronary Artery Bypass Graft Surgery Ann. Thorac. Surg., November 1, 2004; 78(5): 1556 - 1562. [Abstract] [Full Text] [PDF] |
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G. Iohom, S. Szarvas, V. Larney, J. O'Brien, E. Buckley, M. Butler, and G. Shorten Perioperative Plasma Concentrations of Stable Nitric Oxide Products Are Predictive of Cognitive Dysfunction After Laparoscopic Cholecystectomy Anesth. Analg., October 1, 2004; 99(4): 1245 - 1252. [Abstract] [Full Text] [PDF] |
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D.K. Harrington, A.S. Walker, H. Kaukuntla, R.M. Bracewell, T.H. Clutton-Brock, M. Faroqui, D. Pagano, and R.S. Bonser Selective Antegrade Cerebral Perfusion Attenuates Brain Metabolic Deficit in Aortic Arch Surgery: A Prospective Randomized Trial Circulation, September 14, 2004; 110(11_suppl_1): II-231 - II-236. [Abstract] [Full Text] [PDF] |
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H. Kaukuntla, A. Walker, D. Harrington, T. Jones, and R. S. Bonser Differential brain and body temperature during cardiopulmonary bypass--a randomised clinical study Eur. J. Cardiothorac. Surg., September 1, 2004; 26(3): 571 - 579. [Abstract] [Full Text] [PDF] |
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S. Martens, M. Dietrich, C. Herzog, M. Doss, G. Schneider, A. Moritz, and G. Wimmer-Greinecker Automatic connector devices for proximal anastomoses do not decrease embolic debris compared with conventional anastomoses in CABG Eur. J. Cardiothorac. Surg., June 1, 2004; 25(6): 993 - 1000. [Abstract] [Full Text] [PDF] |
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B. S. Silbert, P. Maruff, L. A. Evered, D. A. Scott, M. Kalpokas, K. J. Martin, M. S. Lewis, and P. S. Myles Detection of cognitive decline after coronary surgery: a comparison of computerized and conventional tests Br. J. Anaesth., June 1, 2004; 92(6): 814 - 820. [Abstract] [Full Text] [PDF] |
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W. Nagels, R. Demeyere, J. Van Hemelrijck, E. Vandenbussche, K. Gijbels, and E. Vandermeersch Evaluation of the Neuroprotective Effects of S(+)-Ketamine During Open-Heart Surgery Anesth. Analg., June 1, 2004; 98(6): 1595 - 1603. [Abstract] [Full Text] [PDF] |
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J. D. Puskas, W. H. Williams, E. M. Mahoney, P. R. Huber, P. C. Block, P. G. Duke, J. R. Staples, K. E. Glas, J. J. Marshall, M. E. Leimbach, et al. Off-Pump vs Conventional Coronary Artery Bypass Grafting: Early and 1-Year Graft Patency, Cost, and Quality-of-Life Outcomes: A Randomized Trial JAMA, April 21, 2004; 291(15): 1841 - 1849. [Abstract] [Full Text] [PDF] |
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D van Dijk, K G M Moons, A M A Keizer, E W L Jansen, R Hijman, J C Diephuis, C Borst, P P T de Jaegere, D E Grobbee, and C J Kalkman Association between early and three month cognitive outcome after off-pump and on-pump coronary bypass surgery Heart, April 1, 2004; 90(4): 431 - 434. [Abstract] [Full Text] [PDF] |
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M. Jahangiri and R. Motallebzadeh Neurocognitive deficit following mitral valve surgery Eur. J. Cardiothorac. Surg., October 1, 2003; 24(4): 665 - 665. [Full Text] [PDF] |
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R. J. Petrucci Finding our way from the heart to the head J. Thorac. Cardiovasc. Surg., October 1, 2003; 126(4): 944 - 946. [Full Text] [PDF] |
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D.K. Harrington, M. Bonser, A. Moss, M.T.E. Heafield, M.J. Riddoch, and R.S. Bonser Neuropsychometric outcome following aortic arch surgery: a prospective randomized trial of retrograde cerebral perfusion J. Thorac. Cardiovasc. Surg., September 1, 2003; 126(3): 638 - 644. [Abstract] [Full Text] [PDF] |
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D. J. Culley, G. Crosby, J. Butterworth, and J. W. Hammon Mechanisms of Postoperative Neurobehavioral Deficits and Stroke May Differ * Response Anesth. Analg., August 1, 2003; 97(2): 601 - 601. [Full Text] [PDF] |
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J. D. Lee, S. J. Lee, W. T. Tsushima, H. Yamauchi, W. T. Lau, J. Popper, A. Stein, D. Johnson, D. Lee, H. Petrovitch, et al. Benefits of off-pump bypass on neurologic and clinical morbidity: a prospective randomized trial Ann. Thorac. Surg., July 1, 2003; 76(1): 18 - 26. [Abstract] [Full Text] [PDF] |
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Y. Kadoi, S. Saito, F. Kunimoto, F. Goto, and N. Fujita Comparative effects of propofol versus fentanyl on cerebral oxygenation state during normothermic cardiopulmonary bypass and postoperative cognitive dysfunction Ann. Thorac. Surg., March 1, 2003; 75(3): 840 - 846. [Abstract] [Full Text] [PDF] |
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E. Ahlgren, A. Lundqvist, A. Nordlund, C. Aren, and H. Rutberg Neurocognitive impairment and driving performance after coronary artery bypass surgery Eur. J. Cardiothorac. Surg., March 1, 2003; 23(3): 334 - 340. [Abstract] [Full Text] [PDF] |
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V. Zamvar, D. Williams, J. Hall, N. Payne, C. Cann, K. Young, S Karthikeyan, and J. Dunne Assessment of neurocognitive impairment after off-pump and on-pump techniques for coronary artery bypass graft surgery: prospective randomised controlled trial BMJ, November 30, 2002; 325(7375): 1268 - 1268. [Abstract] [Full Text] [PDF] |
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S. Dogan, K. Graubitz, T. Aybek, M. F. Khan, P. Kessler, A. Moritz, and G. Wimmer-Greinecker How safe is the port access technique in minimally invasive coronary artery bypass grafting? Ann. Thorac. Surg., November 1, 2002; 74(5): 1537 - 1543. [Abstract] [Full Text] [PDF] |
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D. Wang, X. Wu, J. Li, F. Xiao, X. Liu, and M. Meng The Effect of Lidocaine on Early Postoperative Cognitive Dysfunction After Coronary Artery Bypass Surgery Anesth. Analg., November 1, 2002; 95(5): 1134 - 1141. [Abstract] [Full Text] [PDF] |
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