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成人和婴儿的脑静脉血氧饱和度和体静脉血氧饱和度

Cerebral and somatic venous oximetry in adults and infants.

作者信息

Booth Erin A, Dukatz Chris, Ausman James, Wider Michael

机构信息

Medical Science, Somanetics Corporation, Troy, USA.

出版信息

Surg Neurol Int. 2010 Nov 27;1:75. doi: 10.4103/2152-7806.73316.

DOI:10.4103/2152-7806.73316
PMID:21170366
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2997227/
Abstract

BACKGROUND

The development in the last decade of noninvasive, near infrared spectroscopy (NIRS) analysis of tissue hemoglobin saturation in vivo has provided a new and dramatic tool for the management of hemodynamics, allowing early detection and correction of imbalances in oxygen delivery to the brain and vital organs.

DESCRIPTION

The theory and validation of NIRS and its clinical use are reviewed. Studies are cited documenting tissue penetration and response to various physiologic and pharmacologic mechanisms resulting in changes in oxygen delivery and blood flow to the organs and brain as reflected in the regional hemoglobin oxygen saturation (rSO(2)). The accuracy of rSO(2) readings and the clinical use of NIRS in cardiac surgery and intensive care in adults, children and infants are discussed.

CONCLUSIONS

Clinical studies have demonstrated that NIRS can improve outcome and enhance patient management, avoiding postoperative morbidities and potentially preventing catastrophic outcomes.

摘要

背景

过去十年间，用于体内组织血红蛋白饱和度无创近红外光谱（NIRS）分析的技术取得了发展，为血流动力学管理提供了一种全新且强大的工具，能够早期检测并纠正大脑和重要器官氧输送的失衡情况。

描述

本文回顾了NIRS的理论、验证及其临床应用。引用了一些研究，这些研究记录了组织穿透情况以及对各种生理和药理机制的反应，这些机制会导致器官和大脑的氧输送及血流发生变化，反映在局部血红蛋白氧饱和度（rSO(2)）上。讨论了rSO(2)读数的准确性以及NIRS在成人、儿童和婴儿心脏手术及重症监护中的临床应用。

结论

临床研究表明，NIRS可改善治疗结果并加强患者管理，避免术后发病，并有可能预防灾难性后果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42ce/2997227/30426873850d/SNI-1-75-g008.jpg
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Normal cerebral, renal and abdominal regional oxygen saturations using near-infrared spectroscopy in preterm infants.应用近红外光谱技术监测早产儿脑、肾和腹部区域氧饱和度的变化。
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Pro: NIRS is "standard of care" for postoperative management.优点：近红外光谱技术（NIRS）是术后管理的“护理标准”。
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