Neurologic complications especially neurocognitive (e.g., delirium and cognitive dysfunction) and neurovascular (e.g. stroke) are among the most feared and devastating outcomes following cardiac surgery. This session will update current understanding regarding the incidence of, risks for, and outcomes associated with neurological complications including critical discussion regarding emerging clinical evidence and future directions of research.

Learning Objectives

• Demonstrate and understanding of the pathobiology of neurological injury in cardiac surgery/intensive care.
• Define the incidence and prognostic significance of neurological complications and recognize the challenges to diagnosing and managing such complications in the cardiac surgical/intensive care setting.
• Describe the technical surgical/interventional and mechanical support considerations that have risk implications for cardiac surgical/intensive care patients.
• Demonstrate an understanding for current and emerging evidence for neuroprotection and strategies for preventing neurological injury in cardiac surgery.

*Unless otherwise noted, speakers have nothing to disclose.

Presentations

1. Neuropathology of brain injury and strategies for early detection in cardiac surgery
   Presenter: Jonathon P. Fanning, BSc, MBBS, PhD, FRACP, FANZCA, FCICM
2. Neurovascular sequelae of Cardiac Surgery
   Presenter: Steven Messé, MD
   Disclosure: Mallickrodt Pharmaceuticals: Research Grant or Support; Neuralert technologies: Ownership Interest; WL Gore & Associates: Research Grant or Support
3. Neurovascular and cognitive sequelae of cardiac surgery
   Presenter: Rakesh C. Arora, MD, PhD, FRCSC
   Disclosure: AVIR Pharma Inc: Speaker's Bureau (Status: Terminated 2021); Edwards Lifesciences: Advisory Board, Speaker's Bureau
4. Technical aspects and surgical approaches to minimizing neurological complications
   Presenter: Michael Vallely, PhD, FRACS
   Discloser: Medtronic: Advisory Board, Consultant
5. Brain injury in ECMO: cardinal considerations for initiation and management
   Presenter: Sung-Min Cho, DO, MHS
6. Where to from here? The future of brain protection in cardiac surgery/intensive care
   Presenter: Glenn Whitman, MD
   Disclosure: Avania/Cellphire: Consultant; CytoSorbents: Data Safety Monitoring Board; GWBN LLC: Ownership Interest, Patent Holder