Gruartmoner G, Mesquida J, Baigorri F
Centre de Crítics, Hospital de Sabadell, Corporació Sanitària i Universitària Parc Taulí, Sabadell, Barcelona, España.
Centre de Crítics, Hospital de Sabadell, Corporació Sanitària i Universitària Parc Taulí, Sabadell, Barcelona, España.
Med Intensiva. 2014 May;38(4):240-8. doi: 10.1016/j.medin.2013.07.004. Epub 2013 Sep 12.
Hemodynamic resuscitation seeks to correct global macrocirculatory parameters of pressure and flow. However, current evidence has shown that despite the normalization of these global parameters, microcirculatory and regional perfusion alterations can persist, and these alterations have been independently associated with a poorer patient prognosis. This in turn has lead to growing interest in new technologies for exploring regional circulation and microcirculation. Near infra-red spectroscopy allows us to monitor tissue oxygen saturation, and has been proposed as a noninvasive, continuous and easy-to-obtain measure of regional circulation. The present review aims to summarize the existing evidence on near infra-red spectroscopy and its potential clinical role in the resuscitation of critically ill patients in shock.
血流动力学复苏旨在纠正压力和流量等整体宏观循环参数。然而，目前的证据表明，尽管这些整体参数已恢复正常，但微循环和局部灌注改变仍可能持续存在，并且这些改变已独立地与患者预后较差相关。这反过来又引发了人们对探索局部循环和微循环的新技术的兴趣日益浓厚。近红外光谱技术使我们能够监测组织氧饱和度，并已被提议作为一种无创、连续且易于获取的局部循环测量方法。本综述旨在总结关于近红外光谱技术及其在休克危重症患者复苏中潜在临床作用的现有证据。
