Cardiothoracic & vascular anesthesia

Transcranial doppler assessment of preoperative cerebral blood flow velocity in cardiac surgery patients

J Clin Monit ComputPublished Prospective observational study

Main finding · PODResult — go to the resultOdds ratio 0.908 95% CI 0.840–0.981

Authors' conclusion

Reduced cerebral blood flow velocity during CPB, as measured by TCD, is associated with a higher risk of POD.

Study context

Population
Patients undergoing elective cardiac surgery with cardiopulmonary bypass (CPB)
Participants
41 patients
Exposure
Preoperative mean MCA flow velocity and postoperative delirium (POD)
Outcome
POD

Main finding

As reported in the abstract

Odds ratio

0.908

95% CI 0.840–0.981

P = 0.015

Each 1 cm/s decrease in mMCAvmean
OR 0.908 (95% CI 0.840–0.981); P = 0.015

Each 1 cm/s decrease in mMCAvmean, as printed

POD incidence
21 patients (51%)

Observational data: associations, not effects.

Original publication

Transcranial doppler assessment of preoperative cerebral blood flow velocity in cardiac surgery patients. J Clin Monit Comput. Published 12 December 2025. doi:10.1007/s10877-025-01388-7

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