心脏麻醉中的脑氧饱和度监测
Cerebral oximetry in cardiac anesthesia.
作者信息
Vretzakis George, Georgopoulou Stauroula, Stamoulis Konstantinos, Stamatiou Georgia, Tsakiridis Kosmas, Zarogoulidis Paul, Katsikogianis Nikolaos, Kougioumtzi Ioanna, Machairiotis Nikolaos, Tsiouda Theodora, Mpakas Andreas, Beleveslis Thomas, Koletas Alexander, Siminelakis Stavros N, Zarogoulidis Konstantinos
机构信息
1 Anesthesiology Clinic, University Hospital of Larissa, Greece ; 2 Anesthesiology Department, University Hospital of Larisa, Greece ; 3 Cardiothoracic Surgery Department, "Saint Luke" Private Hospital, Thessaloniki, Panorama, Greece ; 4 Pulmonary Department-Oncology Unit, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 5 Surgery Department (NHS), University General Hospital of Alexandroupolis, Alexandroupolis, Greece ; 6 Internal Medicine Department, "Theageneio" Anticancer Hospital, Thessaloniki, Greece ; 7 Cardiology Department, "Saint Luke" Private Hospital, Thessaloniki, Greece ; 8 Anesthesiology Department, "Saint Luke" Private Hospital, Thessaloniki, Greece ; 9 Cardiothoracic Surgery Department, University Hospital of Ioannina, Ioannina, Greece.
出版信息
J Thorac Dis. 2014 Mar;6 Suppl 1(Suppl 1):S60-9. doi: 10.3978/j.issn.2072-1439.2013.10.22.
Cerebral oximetry based on near-infrared spectroscopy (NIRS) is increasingly used during the perioperative period of cardiovascular operations. It is a noninvasive technology that can monitor the regional oxygen saturation of the frontal cortex. Current literature indicates that it can stratify patients preoperatively according their risk. Intraoperatively, it provides continuous information about brain oxygenation and allows the use of brain as sentinel organ indexing overall organ perfusion and injury. This review focuses on the clinical validity and applicability of this monitor for cardiac surgical patients.
基于近红外光谱技术（NIRS）的脑氧饱和度监测在心血管手术围术期的应用日益广泛。它是一种无创技术，可监测额叶皮质的局部氧饱和度。目前的文献表明，它可以在术前根据患者风险进行分层。在术中，它能提供有关脑氧合的连续信息，并允许将脑作为指示整体器官灌注和损伤的哨兵器官。本综述重点关注该监测仪在心脏手术患者中的临床有效性和适用性。
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