Faulkner J T, Hartley M, Tang A
Department of Clinical Perfusion, Lancashire Cardiac Centre, Blackpool, UK.
Perfusion. 2011 Mar;26(2):79-81. doi: 10.1177/0267659110393298. Epub 2010 Dec 20.
We report a case of reduced cerebral oxygenation which had the possibility of leading to an adverse outcome if it had not been detected by the routine use of cerebral oximetry. This case study illustrates that an inadvertent re-adjustment of a single-stage venous cannula within the superior vena cava resulted only in the cerebral oximetry device alerting to a potential problem. All other monitoring devices remained within standard operating parameters, with no deviation throughout the duration of the incident.
我们报告了一例脑氧合降低的病例，如果没有通过常规使用脑血氧饱和度监测仪检测到，该病例有可能导致不良后果。本案例研究表明，上腔静脉内单级静脉插管的意外重新调整仅导致脑血氧饱和度监测仪发出潜在问题警报。所有其他监测设备均保持在标准操作参数范围内，在事件持续期间没有偏差。
