Big Data of Brain-Lung-Heart-Anesthesia via Integrating Transcranial Doppler and Electrocardiogram Monitor for Cardiothoracic Anaesthesia Practice and Research

In the article, dynamic Transcranial Doppler (TCD)application is described to skillfully monitor cerebral blood flow during surgery, differing from the common Bispectral Index (BIS) and cerebral oxygen in the clinic. During cardiothoracic anaesthesia, continuous intracranial hemodynamics is sensitive to operations, anaesthesia depth, and cardiopulmonary and is stably maintained to reduce the risk of cerebral ischemia. The usefulness and limitations are illustrated with examples of the original TCD monitoring Video-Assisted Thoracic Surgery, Lung Transplantation, and Transcatheter Aortic Valve Implantation. The complicated physiopathologic relationship of lung-brain-heart-anesthesia makes it difficult for surgeons and anesthesiologists to regulate cerebral blood flow accurately. The integrated parameters include intraoperative electrocardiogram monitor system and brain multimodal via TCD and Intensive Critical Monitoring (ICM+) software. The core innovation resolves the digital output of the electrocardiogram monitor system to ICM+ and Anesthesia Information Management System to guarantee anaesthetists’ work. The big data recorded per 10 seconds of integrated parameters in ICM+ software helps to explore more research and directly advise anaesthetists and surgeons to reduce post-operative cerebrovascular risk and improve cognitive rehabilitation. Trial Registration Our study is registered on www.chictr.org.cn, ChiCTR2100052463.