Francony G, Bouzat P, Payen J-F
Pôle anesthésie-réanimation, hôpital Michallon, BP 217, 38043 Grenoble cedex 09, France.
Ann Fr Anesth Reanim. 2012 Jun;31(6):e133-6. doi: 10.1016/j.annfar.2012.04.017. Epub 2012 Jun 7.
Near infrared spectroscopy (NIRS) can noninvasively measure cerebral saturation in oxygen, that permits to estimate brain oxygenation and metabolism. This technique could be incorporated into a multimodal monitoring for severely brain-injured patients. This review presents the principles of NIRS, its limits, the main results from clinical studies and its perspectives. More clinical studies are needed before recommending the routine use of NIRS in the ICU.
近红外光谱技术(NIRS)能够无创测量大脑的氧饱和度,从而有助于评估脑氧合和代谢情况。该技术可纳入对重症脑损伤患者的多模式监测中。本文综述了NIRS的原理、局限性、临床研究的主要结果及其前景。在推荐在重症监护病房常规使用NIRS之前,还需要更多的临床研究。