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. Author manuscript; available in PMC: 2010 Aug 16.
Published in final edited form as: Pediatr Res. 2010 Jul;68(1):1–9. doi: 10.1203/PDR.0b013e3181df5402

Table 1.

Multidisciplinary approaches to diagnosis, monitoring, and prevention of neurologic injury throughout the perioperative period

Preoperative Intraoperative Postoperative
Tools for diagnosis/monitoring Imaging (ultrasound, MRI) NIRS Imaging (ultrasound, MRI)
EEG, ERP Biomarkers NIRS
Genetic analysis, risk stratification Biomarkers
Biomarkers EEG, ERP
Strategies for neuroprotection Fetal intervention for CHD (improved cerebral blood flow) Modified perfusion techniques (RLFP, new circuits, etc.) Postconditioning therapies
Prenatal therapy for PVL Modified cooling/rewarming protocols Afterload reduction (avoid LCOS)
Preconditioning therapies
 RIPC
 Pharmacologic

ERP, evoked response potential; NIRS, near-infrared-spectroscopy; CHD, congenital heart disease; LCOS, low cardiac output syndrome; PVL, per ventricular leukomalacia; RIPC, remote ischemic preconditioning.