Misiano D R, Meyerhoff M E, Collison M E
Acute Care Laboratory, Massachusetts General Hospital, Boston.
Chest. 1990 May;97(5 Suppl):204S-214S.
Significant progress has been made recently in the measurement methods and instrumental approaches applicable to bedside testing of critically ill patients. While the "ideal" technology would involve the ability to obtain accurate stat profile values on a continuous basis via noninvasive methods, given the present state of noninvasive sensing technologies, this capability is unlikely to be achieved in the foreseeable future. In principle, invasive and on-line techniques offer more hope for future success in continuous bedside monitoring of all the key critical care analyses. However, success in these directions will come only when issues regarding sensor stability and sampling device/sensor biocompatibility are completely solved. Until then, it appears that the user-friendly point of care type stat analyzers that can provide accurate values for all the key analytes, used in conjunction with existing noninvasive trend monitors (eg, pulse oximetry), will offer the most attractive approach for the effective treatment of critically ill patients.
最近，适用于重症患者床边检测的测量方法和仪器技术取得了重大进展。虽然“理想”技术需要具备通过非侵入性方法持续获取准确即时检验结果值的能力，但鉴于当前非侵入性传感技术的现状，在可预见的未来不太可能实现这一能力。原则上，侵入性和在线技术为未来在所有关键重症监护分析的床边连续监测方面取得成功带来了更多希望。然而，只有当传感器稳定性和采样设备/传感器生物相容性等问题得到彻底解决时，这些方面才能取得成功。在此之前，结合现有的非侵入性趋势监测仪（如脉搏血氧饱和度仪）使用、能够为所有关键分析物提供准确值的用户友好型即时检验分析仪，似乎将为重症患者的有效治疗提供最具吸引力的方法。
