危重症患者的前额血氧饱和度测定：一个新监测部位的实例

Forehead oximetry in critically ill patients: the case for a new monitoring site.

作者信息

Branson Richard D, Mannheimer Paul D

机构信息

Division of Trauma/Critical Care, University of Cincinnati Medical Center, 231 Bethesda Avenue, Cincinnati, OH 45207, USA.

出版信息

Respir Care Clin N Am. 2004 Sep;10(3):359-67, vi-vii. doi: 10.1016/j.rcc.2004.04.003.

DOI:10.1016/j.rcc.2004.04.003

PMID:15458733

Abstract

Pulse oximetry is a ubiquitous monitor in anesthesia and critical care and is often considered the fifth vital sign. Under conditions of normal perfusion and temperature, the finger probe is the most common and effective sensor. In the presence of hypotension, hypoperfusion,and hypothermia, however, the finger sensor is often unable to detect a pulsatile signal. Another site and sensor are necessary to monitor these patients effectively. This article describes the search for this site, the choice of the forehead, and preliminary data regarding the use of this sensor site.

摘要

脉搏血氧饱和度测定法是麻醉和重症监护中一种普遍使用的监测手段，常被视为第五生命体征。在正常灌注和体温条件下，手指探头是最常用且有效的传感器。然而，在存在低血压、低灌注和体温过低的情况下，手指传感器往往无法检测到搏动信号。为有效监测这些患者，需要另选一个部位和传感器。本文描述了对该部位的探寻过程、额头部位的选择以及关于使用该传感器部位的初步数据。