{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T00:17:21Z","timestamp":1773533841658,"version":"3.50.1"},"reference-count":71,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,5,15]],"date-time":"2015-05-15T00:00:00Z","timestamp":1431648000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Dansk Medicinsk Selskab i K\u00f8benhavn"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Physio Funct Imaging"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Cerebral deoxygenation, as determined by near infrared spectroscopy (<jats:styled-content style=\"fixed-case\">NIRS<\/jats:styled-content>), seems to predict postoperative complications following cardiac surgery. We identify the type of non\u2010vascular abdominal surgery associated with cerebral deoxygenation and\/or hyperoxygenation, how such deviations affect patient outcome, and whether maintained cerebral oxygenation improves outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A systematic literature search was performed on PubMed, <jats:styled-content style=\"fixed-case\">EMBASE<\/jats:styled-content>, Web of Science and Clinicaltrials.gov.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 901 patients from 24 publications are described. A decrease in <jats:styled-content style=\"fixed-case\">NIRS<\/jats:styled-content> (&gt;15% relative to baseline) manifested with reverse Trendelenburg's positioning and in 24% (median) of especially elderly patients undergoing open surgery and demonstrated a correlation to hospital stay (<jats:styled-content style=\"fixed-case\">LOS<\/jats:styled-content>). However, if cerebral deoxygenation was reversed promptly, improved postoperative cognitive function (28 versus 26; mini\u2010mental state examination) and reduced <jats:styled-content style=\"fixed-case\">LOS<\/jats:styled-content> (14 versus 23\u00a0days) were seen. Also, during liver transplantation (<jats:styled-content style=\"fixed-case\">LT<\/jats:styled-content>x), impaired cerebral autoregulation (25%), cerebral deoxygenation in the anhepatic phase (36%) and cerebral hyperoxygenation with reperfusion of the grafted liver (14%) were identified by <jats:styled-content style=\"fixed-case\">NIRS<\/jats:styled-content> and could lead to adverse neurological outcome, that is seizures, transient hemiparesis and stroke.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">NIRS<\/jats:styled-content> seems important for predicting neurological complications associated with <jats:styled-content style=\"fixed-case\">LT<\/jats:styled-content>x. Also, surgery in reverse Trendelenburg's position and in other types of abdominal surgery about one\u2010fourth of the patients are subjected to episodes of cerebral deoxygenation that seems to predict a poor outcome. Although there are currently only few studies available for patients going through abdominal surgery, the available evidence points to that it is an advantage to maintain the <jats:styled-content style=\"fixed-case\">NIRS<\/jats:styled-content>\u2010determined cerebral oxygenation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cpf.12244","type":"journal-article","created":{"date-parts":[[2015,5,15]],"date-time":"2015-05-15T07:43:37Z","timestamp":1431675817000},"page":"427-435","source":"Crossref","is-referenced-by-count":19,"title":["Near infrared spectroscopy for frontal lobe oxygenation during non\u2010vascular abdominal surgery"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0819-106X","authenticated-orcid":false,"given":"Henrik","family":"S\u00f8rensen","sequence":"first","affiliation":[{"name":"Department of Anesthesia, Rigshospitalet University of Copenhagen Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hilary P.","family":"Grocott","sequence":"additional","affiliation":[{"name":"Department of Anesthesia &amp; Perioperative Medicine University of Manitoba Winnipeg MB Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niels H.","family":"Secher","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Rigshospitalet University of Copenhagen Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,5,15]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(87)90294-7"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000244807.99073.ae"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2012.12.042"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0037410"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200603000-00005"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/ael287"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1213\/01.ane.0000166974.96219.cd"},{"key":"e_1_2_9_9_1","first-page":"59","article-title":"Monitoring cerebral oxygen saturation in elderly patients undergoing general abdominal surgery: a prospective cohort study","volume":"24","author":"Casati A","year":"2007","journal-title":"Eur J Anaesthesiol"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aer338"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0000000000000000"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezu193"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e31824c00d7"},{"key":"e_1_2_9_14_1","first-page":"1794","article-title":"Hepatectomy corrects cerebral hyperperfusion in fulminant hepatic failure","volume":"26","author":"Ejlersen E","year":"1994","journal-title":"Transplant Proc"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2010.05.017"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1053-0770(96)80183-2"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.4103\/0972-9941.26651"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1532\/HSF98.20041062"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0265021506001645"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2001.02084.x"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e3181fef34e"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.1970.tb00226.x"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.12284"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2012.10.025"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aeq018"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2010.02.009"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/00019509-199606000-00009"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/00019509-199812000-00010"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-007-9505-4"},{"key":"e_1_2_9_30_1","first-page":"226","article-title":"Bispectral index and cerebral oximetry in low\u2010flow and high\u2010flow rate anaesthesia during laparoscopic cholecystectomy \u2010 a randomized controlled trial","volume":"6","author":"Kupisiak J","year":"2011","journal-title":"Wideochir Inne Tech Malo Inwazyjne"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-012-2447-5"},{"key":"e_1_2_9_32_1","first-page":"3510","article-title":"Transcranial Doppler sonography may predict brain death in patients with fulminant hepatic failure","volume":"27","author":"Larsen FS","year":"1995","journal-title":"Transplant Proc"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007890-199911270-00007"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b2700"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0704(03)00058-7"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1177\/0310057X0002800310"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1213\/00000539-200002000-00046"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACO.0000000000000027"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.123.5.1361"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aer150"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(97)07382-0"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.anes.0000296071.19434.1e"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00540-008-0688-1"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1213\/01.ane.0000246814.29362.f4"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200102083440601"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.3389\/fphys.2014.00093"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12028-009-9226-8"},{"key":"e_1_2_9_48_1","first-page":"261","article-title":"Intraoperative hemodynamic monitoring during liver transplantation: goals and devices","volume":"56","author":"Nissen P","year":"2010","journal-title":"Minerva Gastroenterol Dietol"},{"key":"e_1_2_9_49_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e31826ab3a1"},{"key":"e_1_2_9_50_1","first-page":"163","article-title":"Unpredicted neurological complications after robotic laparoscopic radical cystectomy and ileal conduit formation in steep trendelenburg position: two case reports","volume":"61","author":"Pandey R","year":"2010","journal-title":"Acta Anaesthesiol Belg"},{"key":"e_1_2_9_51_1","doi-asserted-by":"publisher","DOI":"10.1007\/0-387-29540-2_43"},{"key":"e_1_2_9_52_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2009.01991.x"},{"key":"e_1_2_9_53_1","first-page":"182","article-title":"A comparison of the incidence of nausea after laparoscopic cholecystectomy and diagnostic laparoscopy","volume":"20","author":"Patel N","year":"1993","journal-title":"Anesthesiol Rev"},{"key":"e_1_2_9_54_1","doi-asserted-by":"publisher","DOI":"10.1186\/cc3887"},{"key":"e_1_2_9_55_1","first-page":"473","article-title":"A multicenter survey on anaesthesia practice in Italy","volume":"70","author":"Peduto VA","year":"2004","journal-title":"Minerva Anestesiol"},{"key":"e_1_2_9_56_1","doi-asserted-by":"publisher","DOI":"10.1159\/000343229"},{"key":"e_1_2_9_57_1","doi-asserted-by":"publisher","DOI":"10.1213\/01.ANE.0000124032.31843.61"},{"key":"e_1_2_9_58_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpa.2005.10.011"},{"key":"e_1_2_9_59_1","doi-asserted-by":"publisher","DOI":"10.1152\/japplphysiol.00024.2012"},{"key":"e_1_2_9_60_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199612193352501"},{"key":"e_1_2_9_61_1","first-page":"R742","article-title":"Hypotension induced by passive head\u2010up tilt: endocrine and circulatory mechanisms","volume":"251","author":"Sander\u2010Jensen K","year":"1986","journal-title":"Am J Physiol"},{"key":"e_1_2_9_62_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000539-199704000-00005"},{"key":"e_1_2_9_63_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2008.08.070"},{"key":"e_1_2_9_64_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e318214b2b0"},{"key":"e_1_2_9_65_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e3182605afe"},{"key":"e_1_2_9_66_1","first-page":"321","article-title":"Ventilatory strategy during liver transplantation: implications for near\u2010infrared spectroscopy\u2010determined frontal lobe oxygenation","volume":"5","author":"S\u00f8rensen H","year":"2014","journal-title":"Front Physiol"},{"key":"e_1_2_9_67_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aet481"},{"key":"e_1_2_9_68_1","first-page":"65","volume-title":"General Intellectual Ability and Assessment of Premorbid Intelligence, A Compendium of Neuropsychological Tests","author":"Spreen O","year":"1998"},{"key":"e_1_2_9_69_1","doi-asserted-by":"publisher","DOI":"10.1002\/ana.410310612"},{"key":"e_1_2_9_70_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aes466"},{"key":"e_1_2_9_71_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.12493"},{"key":"e_1_2_9_72_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12028-012-9721-1"}],"container-title":["Clinical Physiology and Functional Imaging"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcpf.12244","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cpf.12244","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T02:00:39Z","timestamp":1696384839000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cpf.12244"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,5,15]]},"references-count":71,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2016,11]]}},"alternative-id":["10.1111\/cpf.12244"],"URL":"https:\/\/doi.org\/10.1111\/cpf.12244","archive":["Portico"],"relation":{},"ISSN":["1475-0961","1475-097X"],"issn-type":[{"value":"1475-0961","type":"print"},{"value":"1475-097X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,5,15]]}}}