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脑氧饱和度监测及其在成人心脏、非心脏手术及心脏骤停复苏中的作用。

Cerebral oximetry and its role in adult cardiac, non-cardiac surgery and resuscitation from cardiac arrest.

机构信息

Department of Anaesthesia, Intensive Care and Pain Medicine, King's College Hospital NHS Foundation Trust, London, UK.

出版信息

Anaesthesia. 2017 Jan;72 Suppl 1:48-57. doi: 10.1111/anae.13740.

DOI:10.1111/anae.13740
PMID:28044331
Abstract

Monitors using near-infra red spectroscopy to assess cerebral oxygenation levels non-invasively in discrete areas of the brain have been used clinically for over 20 years. Interest has intensified recently, especially during cardiac surgery, and there are now five commercially available devices. Despite the attraction of being able to measure oxygen supply/demand in such a critical area, there has been only limited uptake of this technology in overall clinical anaesthetic practice. This narrative review aims to explore not only the rationale for using this technology but also the factors which have restricted its more widespread use.

摘要

近红外光谱监测仪可在大脑的特定区域进行非侵入性的脑氧饱和度监测,其临床应用已经超过 20 年。近年来,这种监测仪的应用越来越受到关注,尤其是在心脏手术中。目前,已经有 5 种商业化的设备。尽管这种监测仪在监测如此关键的区域的氧供/需方面具有吸引力,但它在整体临床麻醉实践中的应用仍然非常有限。本综述旨在探讨使用该技术的基本原理,以及限制其广泛应用的因素。

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