Abstract
Post-operative cognitive Dysfunction and delirium are two major concerns regarding possible adverse effects of cardiac surgery. Perioperative neuromonitoring is a method used to assess and monitor the functional integrity of the nervous system during surgical procedures. This review aimed to explore the impact of perioperative neuromonitoring on postoperative cognitive dysfunction and delirium following cardiac surgery, aiming to improve patient care and surgical outcomes. In order to execute this systematic review and meta-analysis, research based on the impact of perioperative neuromonitoring on neurodegenerative disorders post-cardiac surgery was identified. Data was gathered from PubMed, Cochrane Library, Medscape, Medline Plus, Science Direct, and Google Scholar. The studies were selected from the last 5 years ranging between 2019 to 2023 using the keywords "Perioperative Neuromonitoring," "Postoperative Cognitive Dysfunction," "Delirium," "EEG Monitoring," "NIRS Monitoring," and "Transcranial Doppler. The systemic review, following guidelines regulated by Preferred Reporting Items for Systemic Research and Meta-Analysis, retrieved 260 papers on post-cardiac neurological disorders and diagnosing techniques, from which 228 were selected. This review examines 82 references for medical diagnosis and therapy, including 14 recent articles, and highlights the need for further research on postoperative delirium and cognitive dysfunction treatment strategies.
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