Cardiothoracic & vascular anesthesia

The Association of Preoperative Cognitive Dysfunction to Common Intraoperative Electroencephalographic Parameters and Cerebral Hypoxia During Cardiac Surgery

Anesth AnalgPublished Secondary analysis of a randomised trial

Primary result · Burst suppression duration (BSD)Result — go to the resultCohen's d 0.33

Authors' conclusion

Preoperative cognitive dysfunction was associated with significantly lower SEFs, indicating increased isoflurane sensitivity without affecting BS or correlating with CO.

Study context

Population
Patients ≥60 years undergoing CABG and/or valve surgery under general (inhalational) anesthesia at a single academic center
Participants
110 patients
Comparison
Preoperative cognitive impairment vs normal cognition
Methodological detailstriple-blinded, multicentre trial, single-centre cohort
  • Triple-blinded
  • Multicentre trial
  • Single-centre cohort

Primary result

Burst suppression duration (BSD)

Cohen's d

0.33

P = 0.09

As reported in the abstract

Further findings

Time in cerebral desaturation (CO <60%) · spread kind not named in abstract

P = 0.6

OutcomeDifference (lower SEF) (Hz) (95% CI)P value
Spectral edge frequency (SEF), adjustedAdjusted analyses1.4 (0.07–2.6)P = 0.03

Concurrent and nonconcurrent abnormal EEG and cerebral oximetry (CO) values

No disparities between the groups

Original publication

The Association of Preoperative Cognitive Dysfunction to Common Intraoperative Electroencephalographic Parameters and Cerebral Hypoxia During Cardiac Surgery. Anesth Analg. Published 14 April 2026. doi:10.1213/ane.0000000000007724

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