Author(s) Details:
Avraham Mayevsky
The Mina & Everard Goodman Faculty of Life Sciences, Bar-Ilan University, Ramat-Gan 5290092, Israel.
Michael Tolmasov
The Mina & Everard Goodman Faculty of Life Sciences, Bar-Ilan University, Ramat-Gan 5290092, Israel.
Mira Mandelbaum
The Mina & Everard Goodman Faculty of Life Sciences, Bar-Ilan University, Ramat-Gan 5290092, Israel.
This section is a part of the chapter: Real Time Assessment of Patients’ Body Oxygen Balance and Tissue Metabolic Score (TMS)
All major surgeries of patients performed under general anesthesia, require monitoring of vital functions performed by the cardiovascular and the respiratory systems. It is very important to monitor the vital signs such as ECG, heart rate, blood pressure, respiration and oxygen saturation of the blood. In the last 30 years, new parameters were added to the monitoring systems of patients including stroke volume, cardiac output, depth of anesthesia and cerebral and tissue oxygenation (Green & Paklet, 2010). In spite of the intensive monitoring options during the perioperative period, brain injury is a major cause of patient’s morbidity after cardiac surgery as discussed in many publications (Hogue et al., 2006; McKhann et al., 2006; Newman, Grocott, et al., 2001; Newman, Kirchner, et al., 2001; Roach et al., 1996). They showed that the consequences are, higher operative mortality, prolongation of hospitalization periods, and decrease in quality of life. Grogan et al. (Grogan et al., 2008) reviewed the published material and provided evidence-based recommendations to improve brain protection during cardiac surgery including CPB (Cardio Pulmonary Bypass). It seems that the current monitoring tools are not providing an alarming signal that will enable to minimize the effect of the surgery on brain function during the perioperative stage (Mayevsky et al., 2018). In 2002, Edmonds (Edmonds, 2002) discussed the option of neurophysiological monitoring during heart surgery. A recently published review by Ekbal et al. (2013) summarizes the additional monitoring tools that may provide, in real-time, early warning signals on tissue perfusion and metabolism in critically ill patients. In 2016, Scheeren (2016) presented a list of new technologies that will enable the clinician to monitor and evaluate the microcirculation and tissue oxygenation in addition to the macro-circulation and respiratory function available today.
How to Cite
Mayevsky, A., Tolmasov, M., & Mandelbaum, M. (2025). Real Time Assessment of Patients’ Body Oxygen Balance and Tissue Metabolic Score (TMS). Medical Science: Trends and Innovations Vol. 4, 101–142. https://doi.org/10.9734/bpi/msti/v4/4146