Larson Merlin D, Singh Vineeta
Department of Anesthesia and Perioperative Care, University of California, San Francisco, CA, 94143, USA.
Departments of Anesthesiology and Neurology, University of California, San Francisco, CA, 94143-0648, USA.
Crit Care. 2016 Jun 22;20(1):161. doi: 10.1186/s13054-016-1349-7.
Infrared pupillometry was introduced in 1962 but portable instruments that use this technology have only recently become available in the hospital setting. Questions surrounding the accuracy of these instruments have been addressed by documenting the inter-observer agreement on pupillary measurements and also by comparisons with standard pen-light examinations. The following commentary summarizes the development of these devices and provides a wider perspective on how the pupil and its reflexes might be used in providing care for patients with critical illness.
红外瞳孔测量法于1962年问世,但采用该技术的便携式仪器直到最近才在医院环境中出现。围绕这些仪器准确性的问题,已通过记录观察者之间瞳孔测量的一致性以及与标准笔灯检查的比较得以解决。以下评论总结了这些设备的发展情况,并对瞳孔及其反射在为危重病患者提供护理方面的应用提供了更广阔的视角。