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["Codman"颅内压传感器零漂移的监测后变化]

[Post-monitoring changes in zero drift of "Codman" intracranial pressure sensors].

作者信息

Oshorov A V, Savin I A, Goriachev K A, Popugaev K A, Polupan A A, Sychev A A, Tabasaranskiĭ T F

出版信息

Anesteziol Reanimatol. 2011 May-Jun(3):62-6.

Abstract

The purpose of the study was to estimate the drift of the zero value of "Codman" intracranial pressure sensors, compared with the duration of monitoring, location of intracranial pressure sensors, and also to assess the relationship of drift to the gauge number. 60 "Codman" intracranial pressure sensors were investigated. The analysis of zero drift were made depending on the length of monitoring and location of the intracranial pressure sensor, as well as on description of the gauge number. Data are presented as median, quartiles, minimum and maximum values. The gauge numbers of 499, 491 and 501, (475 and 513). The drift was 0 mm Hg. -1 And 0 (-2 to 3). In 43% of the ICP measurements of the drift of the zero value was absent. In 40% o the drift was within +/ - 1 mm Hg. The analysis showed no dependence of the drift of the zero value of the duration of monitoring, location of the sensor and gauge numbers. On two patients simultaneous recording of intracranial pressure in the ventricles and brain parenchyma was carried out. The high correlation between the measured values r = 0.94, p < 0.01. In one "in vivo" case the zero drift was detected, which amounted to 2 mm Hg and grew by 5th day of monitoring. The maximum value of the drift of the zero value was 3 mm Hg. The dependence of drift on the duration of monitoring, reference values of the calibration and sensor implant site was absent. This shows the accuracy and reliability of parenchymal ICP measurement.

摘要

本研究的目的是评估“Codman”颅内压传感器零值的漂移情况,并与监测持续时间、颅内压传感器位置进行比较,同时评估漂移与规格编号的关系。对60个“Codman”颅内压传感器进行了研究。根据监测时长、颅内压传感器位置以及规格编号描述对零漂移进行分析。数据以中位数、四分位数、最小值和最大值表示。规格编号为499、491和501(475和513)。漂移分别为0 mmHg、-1 mmHg和0 mmHg(-2至3 mmHg)。在43%的颅内压测量中未出现零值漂移。40%的漂移在±1 mmHg范围内。分析表明,零值漂移与监测持续时间、传感器位置和规格编号无关。对两名患者同时进行了脑室和脑实质内颅内压的记录。测量值之间的相关性较高,r = 0.94,p < 0.01。在一个“体内”病例中检测到零漂移,在监测第5天时达到2 mmHg并持续上升。零值漂移的最大值为3 mmHg。漂移与监测持续时间、校准参考值和传感器植入部位无关。这表明脑实质内颅内压测量的准确性和可靠性。

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