Elser Heather E, Holditch-Davis Diane, Brandon Debra H
Duke University School of Nursing, DUMC 3322 Durham, NC 27710, 919-684-9198, fax: 919-681-8899.
Newborn Infant Nurs Rev. 2011 Sep 1;11(3):153-159. doi: 10.1053/j.nainr.2011.07.007.
Premature infants are at risk for intraventricular hemorrhage (IVH) and periventricular leukomalacia (PVL) theorized to be a result from fluctuations in cerebral blood flow. Monitoring cerebral oxygenation offers a method to observe changes in cerebral blood flow that may be beneficial for detecting and preventing IVH and PVL. This article explains the potential for cerebral oxygenation monitoring in detecting IVH and PVL using cerebral oximetry, reviews current knowledge known about cerebral oxygenation, and describes current challenges for cerebral oxygenation to be the next neuroprotective vital sign.
早产儿有发生脑室内出血(IVH)和脑室周围白质软化(PVL)的风险,理论上这是脑血流波动的结果。监测脑氧合提供了一种观察脑血流变化的方法,这可能有助于检测和预防IVH和PVL。本文解释了使用脑血氧饱和度仪监测脑氧合在检测IVH和PVL方面的潜力,回顾了目前已知的关于脑氧合的知识,并描述了脑氧合成为下一个神经保护生命体征当前面临的挑战。