{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T02:06:24Z","timestamp":1790820384267,"version":"4.1.0"},"reference-count":33,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T00:00:00Z","timestamp":1784851200000},"content-version":"unspecified","delay-in-days":23,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1047951126123567_as1\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Neurological injury is common in neonates undergoing cardiac surgery with cardiopulmonary bypass, yet perioperative neuroimaging and neuromonitoring practices vary across centres. We aimed to characterise current practices and provider perceptions across Pediatric Cardiac Intensive Care Society-affiliated centres.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951126123567_as2\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted an online, cross-sectional survey of Pediatric Cardiac Intensive Care Society members between August and October 2024. Part 1, completed by medical directors, assessed institutional characteristics and perioperative practices. Part 2, completed by multidisciplinary providers, evaluated perceptions of utility and sufficiency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951126123567_as3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 143 responses from 60 institutions were analysed, including 38 medical directors. Most centres had a dedicated cardiac ICU (87%) and were academically affiliated (76%). Routine neuroimaging was more common preoperatively than postoperatively (87% vs. 32%), with head ultrasound most frequently used. Near-infrared spectroscopy was the most common neuromonitoring modality, while routine electroencephalography was reported at 18% of centres preoperatively and 50% postoperatively. Physicians were more likely than advanced practice providers and nurses to report practices as sufficient. Neurocritical care teams were present at 42% of centres but were not associated with greater use of neuroimaging or monitoring.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951126123567_as4\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Significant variability exists in perioperative practices and provider perceptions, highlighting the need for multidisciplinary alignment and standardised guidelines.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1047951126123567","type":"journal-article","created":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T01:36:45Z","timestamp":1784857005000},"page":"1380-1387","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Variability in neuromonitoring and neuroimaging practices for neonatal cardiac surgery: a multicentre survey"],"prefix":"10.1017","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6684-2145","authenticated-orcid":false,"given":"Molly E.","family":"McGetrick","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05byvp690","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Texas Southwestern Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriela I.","family":"Centers","sequence":"additional","affiliation":[{"name":"Medical City Children\u2019s Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra L.","family":"Staveski","sequence":"additional","affiliation":[{"name":"University of California San Francisco School of Nursing"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6735-5776","authenticated-orcid":false,"given":"Sarah D.","family":"Schlatterer","sequence":"additional","affiliation":[{"name":"Prenatal Pediatric Institute, Children\u2019s National Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9523-6291","authenticated-orcid":false,"given":"Sherrill D.","family":"Caprarola","sequence":"additional","affiliation":[{"name":"The University of Colorado School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahsun","family":"Yuerek","sequence":"additional","affiliation":[{"name":"The Children\u2019s Hospital of Philadelphia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhishek","family":"Chakraborty","sequence":"additional","affiliation":[{"name":"The University of Tennessee Health Science Center College of Medicine Memphis"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristi L.","family":"Glotzbach","sequence":"additional","affiliation":[{"name":"Primary Children\u2019s Hospital, University of Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Byars","sequence":"additional","affiliation":[{"name":"The University of Texas at Austin Dell Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8642-2188","authenticated-orcid":false,"given":"Chetna K.","family":"Pande","sequence":"additional","affiliation":[{"name":"Baylor College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,7,24]]},"reference":[{"key":"S1047951126123567_ref13","doi-asserted-by":"publisher","DOI":"10.1007\/s12028-023-01737-x"},{"key":"S1047951126123567_ref22","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2021-323132"},{"key":"S1047951126123567_ref23","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e318265ee8a"},{"key":"S1047951126123567_ref9","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e3181dd5a58"},{"key":"S1047951126123567_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2018.03.491"},{"key":"S1047951126123567_ref12","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001211"},{"key":"S1047951126123567_ref27","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000000564"},{"key":"S1047951126123567_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2024.02.005"},{"key":"S1047951126123567_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"S1047951126123567_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2009.08.022"},{"key":"S1047951126123567_ref11","doi-asserted-by":"publisher","DOI":"10.1111\/j.0013-9580.2005.22504.x"},{"key":"S1047951126123567_ref18","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-3734"},{"key":"S1047951126123567_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2022.10.029"},{"key":"S1047951126123567_ref17","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.107.760819"},{"key":"S1047951126123567_ref19","doi-asserted-by":"publisher","DOI":"10.1038\/s41390-022-02063-2"},{"key":"S1047951126123567_ref5","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A7328"},{"key":"S1047951126123567_ref25","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuroimage.2018.05.045"},{"key":"S1047951126123567_ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.anpedi.2024.503739"},{"key":"S1047951126123567_ref32","doi-asserted-by":"publisher","DOI":"10.1097\/WNP.0000000000001120"},{"key":"S1047951126123567_ref26","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e31829bfdcf"},{"key":"S1047951126123567_ref31","doi-asserted-by":"publisher","DOI":"10.1038\/s41390-024-03401-2"},{"key":"S1047951126123567_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"S1047951126123567_ref33","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000001708"},{"key":"S1047951126123567_ref29","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-021-02718-7"},{"key":"S1047951126123567_ref4","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.13747"},{"key":"S1047951126123567_ref14","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-021-06737-1"},{"key":"S1047951126123567_ref24","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2017.08.019"},{"key":"S1047951126123567_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2010.03.035"},{"key":"S1047951126123567_ref28","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-005-2618-0"},{"key":"S1047951126123567_ref20","doi-asserted-by":"publisher","DOI":"10.1038\/s41390-022-02314-2"},{"key":"S1047951126123567_ref1","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2025.1522644"},{"key":"S1047951126123567_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2015.03.045"},{"key":"S1047951126123567_ref30","doi-asserted-by":"publisher","DOI":"10.1038\/s41390-024-03484-x"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951126123567","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T01:45:58Z","timestamp":1790819158000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951126123567\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":33,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["S1047951126123567"],"URL":"https:\/\/doi.org\/10.1017\/s1047951126123567","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided that no alterations are made and the original article is properly cited. The written permission of Cambridge University Press or the rights holder(s) must be obtained prior to any commercial use and\/or adaptation of the article.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}