Department of Anesthesia, University of Manitoba, Winnipeg, Manitoba, USA.
Curr Opin Anaesthesiol. 2010 Dec;23(6):759-64. doi: 10.1097/ACO.0b013e3283404641.
Despite its obvious importance, the brain is inconsistently the focus of monitoring in anesthesia and intensive care settings. However, there are multiple modalities available to address cerebral monitoring that when acted upon, may improve perioperative outcomes. This review addresses the various brain monitoring options that can be integrated in anesthetic and intensive care practice in order to optimize perioperative outcomes.
Although numerous monitoring modalities are available, the level of evidence supporting each application is somewhat limited with few of the available monitors having been subjected to large-scale randomized trials. Despite this, they each may have a potential role to play in providing information that can be integrated to optimize care.
Using a comprehensive cerebral monitoring strategy may optimize outcomes in anesthetic and intensive care.
尽管大脑的重要性不言而喻，但在麻醉和重症监护环境中，大脑的监测却并不一致。然而，有多种方法可用于解决脑监测问题，如果加以应用，可能会改善围手术期的结果。本综述介绍了可在麻醉和重症监护实践中整合以优化围手术期结果的各种脑监测选择。
尽管有许多监测方法，但每种应用的证据水平都有些有限，并且很少有可用的监测器经过大规模随机试验。尽管如此，它们在提供可整合以优化护理的信息方面可能都具有潜在的作用。
使用全面的脑监测策略可能会优化麻醉和重症监护的结果。
