Cardiothoracic & vascular anesthesia

Bilateral Transcranial Doppler Monitoring During Neonatal Cardiac Surgery; Guidance for Clinical and Scientific Use

Paediatr AnaesthPublished Feasibility study

Authors' conclusion

This study demonstrates that bilateral transcranial Doppler monitoring is feasible during neonatal cardiac surgery when performed within the recommended operational safety limits.

Study context

Population
Neonates undergoing cardiac surgery
Participants
44 procedures
Outcome
Feasibility of continuous bilateral transcranial Doppler monitoring for assessing cerebral perfusion
Methodological detailsprospective, single-group
  • Prospective
  • Single-group

Main finding

As reported in the abstract

Feasibility (signal quality)
Bilateral sufficient signal quality at the start
all patients
Unilateral signal deterioration, left MCA
1 (2.5%)
Unilateral signal deterioration, right MCA
3 (7.5%)

Observational data: associations, not effects.

Further findings

Left/right MCA CBFV, mean (SD), cm/s

Pre-bypass
17.2 (6.4)/15.4 (6.8) cm/s
During bypass
10.8 (4.0)/10.2 (4.3) cm/s
Post-bypass
18.4 (5.9)/16.1 (5.1) cm/s

ABP, mean (SD), mmHg

mmHg

Pre-bypass
38.1 (4.4)
During bypass
38.0 (5.1)
Post-bypass
47.8 (4.7)

Original publication

Bilateral Transcranial Doppler Monitoring During Neonatal Cardiac Surgery; Guidance for Clinical and Scientific Use. Paediatr Anaesth. Published 24 December 2025. doi:10.1002/pan.70106

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