can cerebral oximetry near-infrared spectroscopy strategy in hypothermic cardiopulmonary bypass in congenital cardiac surgery be considered an advanced nursing practice?

Background: the importance of cerebral perfusion during congenital cardiac surgery, especially after hypothermic cardiopulmonary bypass (cpb) strategy, has remained a debate. in this study, we evaluated the effect of mild hypothermic cpb strategy on cerebral oximetry near-infrared spectroscopy in congenital heart defects surgery.methods: in a randomized prospective study, the pediatrics aged two months and six years with rachs categories i-ⅱ for congenital heart defects surgery were randomly divided into normothermic and mild hypothermic cpb groups. the nirs was measured in all patients via the invos ™ cerebral oximetry system. the perfusion and anesthesia strategies during the study were followed as standard methods. a p-value below 0.05 is considered to be a significant level.results: regarding cerebral oximetry, the results showed no significant difference between normothermic and mild hypothermic cpb groups.conclusion: it can be concluded that optimizing cerebral oxygen saturation monitoring during congenital cardiac surgery can improve patient outcomes as a protective strategy.