Bader Mary Kay
Mission Hospital, 27700 Medical Center Road, Mission Viejo, CA 92691, USA.
Crit Care Nurs Clin North Am. 2006 Jun;18(2):243-56, xi. doi: 10.1016/j.ccell.2006.01.003.
This article describes the potential application of brain tissue oxygen monitoring technology in the care of patients who have sustained traumatic brain injury (TBI) or subarachnoid hemorrhage (SAH). To accomplish this objective, a review of the intracranial dynamics that are created by primary and secondary brain injury, and the challenges of optimizing oxygen delivery to the injured brain are presented. Furthermore, interventions that facilitate cerebral oxygen supply and reduce oxygen consumption are identified. Finally, application of this technology is highlighted by using case vignettes of patients who have TBI or SAH.
本文描述了脑组织氧监测技术在创伤性脑损伤（TBI）或蛛网膜下腔出血（SAH）患者护理中的潜在应用。为实现这一目标，本文回顾了原发性和继发性脑损伤所产生的颅内动力学，以及优化向受伤大脑输送氧气所面临的挑战。此外，还确定了促进脑氧供应和减少氧消耗的干预措施。最后，通过TBI或SAH患者的病例 vignettes 突出了该技术的应用。
