Department of Anesthesiology and Perioperative Medicine, University Hospital-LHSC, University of Western Ontario, Rm C3-112, 339 Windermere Rd, London, ON, Canada N6A 5A5.
Br J Anaesth. 2009 Dec;103 Suppl 1:i3-13. doi: 10.1093/bja/aep299.
Continuous real-time monitoring of the adequacy of cerebral perfusion can provide important therapeutic information in a variety of clinical settings. The current clinical availability of several non-invasive near-infrared spectroscopy (NIRS)-based cerebral oximetry devices represents a potentially important development for the detection of cerebral ischaemia. In addition, a number of preliminary studies have reported on the application of cerebral oximetry sensors to other tissue beds including splanchnic, renal, and spinal cord. This review provides a synopsis of the mode of operation, current limitations and confounders, clinical applications, and potential future uses of such NIRS devices.
连续实时监测脑灌注的充分性可以在多种临床情况下提供重要的治疗信息。目前，几种基于近红外光谱（NIRS）的脑氧饱和度监测仪的临床可用性代表了检测脑缺血的一个潜在重要进展。此外，一些初步研究报告了脑氧饱和度传感器在包括内脏、肾脏和脊髓等其他组织床中的应用。本文综述了此类 NIRS 设备的操作模式、当前的局限性和混杂因素、临床应用以及潜在的未来用途。
