tıklayınız - Türk Pediatrik Kardiyoloji ve Kalp Cerrahisi Derneği

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Intraoperative Neuromonitoring
• Near infrared spectroscopy
• Transcranial Doppler
• Somatosensory evoked potentials
Postoperative Factors
• Perioperative management in the intensive care unit
• The importance of duration of hospitalization
• Residual lesions
• Continuing medical management
Assessment Vehicles
• Neurological studies including neuroimaging
• Cognitive studies
• Motor skills
• Social adjustment
Conclusion
The rapid evolution of surgical and bypass techniques over the last 2 to 3 decades
during the new era of congenital heart management has complicated the assessment
of survivors from that period. However, it is clear that there are subsets of patients
who are particularly at risk of cognitive and motor delays which may be associated
with poor social adjustment and lack of social independence. Identification of such
subsets will improve the effectiveness of early intervention programs.