LEARNING OBJECTIVES:

  • Outline the scientific principles on which NIRS is based
  • Describe the advantages and disadvantages of using NIRS
    to monitor the brain during carotid surgery
  • Place NIRS into the broader contexts of neuro-monitoring
    and evidence-based medicine

DESCRIPTION:
While originally developed for adult cardiac surgery patients, many clinicians rightfully wonder whether or not cerebral near infrared spectroscopy (NIRS) has applicability outside of the operating room. With a “covert stroke” rate of approximately 7% based on MRI studiesand an increased appreciation for post-operative cognitive dysfunction (POCD)2, this line of questioning is understandable. In this webinar, Dr. Thiele will describe how cerebral NIRS technology works, describe the validation data as well as the literature to support its more traditional use in cardiac surgery, as well as review the literature describing cerebral NIRS for carotid surgery.


WHO SHOULD ATTEND:
Anesthesiologists, Intensivists, Vascular Surgeons

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Headshot Dr. Thiele 2.jpg

Dr. Robert H. Thiele


Dr. Thiele is a Charlottesville native and an alumnus of both Charlottesville High School (1997) and the University of Virginia. He attended medical school at Vanderbilt, completed his internship at Northwestern, his anesthesiology residency at UVA and his critical care fellowship at Duke. He is board certified in anesthesiology, critical care, and advanced perioperative transesophageal echocardiography.

He returned home to UVA and Charlottesville in 2011, joining the anesthesiology faculty as an assistant professor and specializing in cardiothoracic anesthesiology and critical care. He is a strong advocate for patient safety and is a member of both the Patient Safety Committee at UVA and the Anesthesia Patient Safety Foundation (Committee on Technology). He is the co-director of UVA’s Enhanced Recovery After Surgery program, which focuses on improving patient satisfaction and reducing complications after surgery.

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