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Load-distributing-band cardiopulmonary resuscitation for out-of-hospital cardiac arrest increases regional cerebral oxygenation: a single-center prospective pilot study.院外心脏骤停时负载分配带式心肺复苏可增加局部脑氧合：一项单中心前瞻性试点研究。
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本文引用的文献

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Regional variability in survival outcomes of out-of-hospital cardiac arrest: the All-Japan Utstein Registry.院外心脏骤停生存结局的地域差异：全日本 Utstein 注册研究。
Resuscitation. 2013 Aug;84(8):1099-107. doi: 10.1016/j.resuscitation.2013.03.007. Epub 2013 Mar 14.
2
Current termination of resuscitation (TOR) guidelines predict neurologically favorable outcome in Japan.目前日本的复苏终止（TOR）指南预测神经功能良好的结果。
Resuscitation. 2013 Jan;84(1):54-9. doi: 10.1016/j.resuscitation.2012.05.027. Epub 2012 Jun 15.
3
Impact of extracranial contamination on regional cerebral oxygen saturation: a comparison of three cerebral oximetry technologies.颅内污染对区域性脑氧饱和度的影响：三种脑氧饱和度监测技术的比较。
Anesthesiology. 2012 Apr;116(4):834-40. doi: 10.1097/ALN.0b013e31824c00d7.
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A feasibility study evaluating the role of cerebral oximetry in predicting return of spontaneous circulation in cardiac arrest.评估脑氧饱和度在预测心脏骤停自主循环恢复中的作用的可行性研究。
Resuscitation. 2012 Aug;83(8):982-5. doi: 10.1016/j.resuscitation.2012.01.039. Epub 2012 Feb 6.
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Regional cerebral oxygen saturation on hospital arrival is a potential novel predictor of neurological outcomes at hospital discharge in patients with out-of-hospital cardiac arrest.入院时的区域性脑氧饱和度是院外心脏骤停患者出院时神经功能结局的潜在新型预测指标。
Resuscitation. 2012 Jan;83(1):46-50. doi: 10.1016/j.resuscitation.2011.10.016. Epub 2011 Oct 31.
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Compression-only CPR or standard CPR in out-of-hospital cardiac arrest.单纯胸外按压心肺复苏与标准心肺复苏在院外心脏骤停中的应用比较。
N Engl J Med. 2010 Jul 29;363(5):434-42. doi: 10.1056/NEJMoa0908991.
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Continuous improvements in "chain of survival" increased survival after out-of-hospital cardiac arrests: a large-scale population-based study.“生存链”的持续改善提高了院外心脏骤停后的生存率：一项基于大规模人群的研究。
Circulation. 2009 Feb 10;119(5):728-34. doi: 10.1161/CIRCULATIONAHA.108.802058. Epub 2009 Jan 26.
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Minimally interrupted cardiac resuscitation by emergency medical services for out-of-hospital cardiac arrest.紧急医疗服务对院外心脏骤停进行的微创间断心脏复苏。
JAMA. 2008 Mar 12;299(10):1158-65. doi: 10.1001/jama.299.10.1158.
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Cerebral cortical microvascular flow during and following cardiopulmonary resuscitation after short duration of cardiac arrest.心脏骤停短时间后心肺复苏期间及之后的大脑皮质微血管血流
Resuscitation. 2008 May;77(2):229-34. doi: 10.1016/j.resuscitation.2007.12.013. Epub 2008 Feb 15.
10
Acute cerebral blood flow variations after human cardiac arrest assessed by stable xenon enhanced computed tomography.通过稳定氙增强计算机断层扫描评估人类心脏骤停后的急性脑血流变化。
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院前心肺复苏期间区域脑氧饱和度监测的便携式系统：一项初步研究。

Portable system for monitoring of regional cerebral oxygen saturation during prehospital cardiopulmonary resuscitation: a pilot study.

作者信息

Tajima Goro, Shiozaki Tadahiko, Izumino Hiroo, Yamano Shuhei, Hirao Tomohito, Inokuma Takamitsu, Yamashita Kazunori, Nagatani Atsuko, Onishi Mitsuo, Hirose Tomoya, Shimazu Takeshi, Hamasaki Toshimitsu, Tasaki Osamu

机构信息

Emergency Medical Center Nagasaki University Hospital Nagasaki Japan.

Department of Traumatology and Acute Critical Medicine Osaka University Graduate School of Medicine Osaka Japan.

出版信息

Acute Med Surg. 2014 Oct 1;2(1):48-52. doi: 10.1002/ams2.71. eCollection 2015 Jan.

DOI:10.1002/ams2.71
PMID:29123690
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5667199/
Abstract

AIM

We aimed to create a system for monitoring of regional cerebral oxygen saturation (rSO ) in patients with prehospital cardiopulmonary arrest and clarify the changes in rSO during cardiopulmonary resuscitation.

METHODS

We measured rSO in cardiopulmonary arrest patients who were transferred by the emergency response vehicle of Nagasaki University Hospital. We developed a portable rSO monitor (HAND ai TOS), which is small enough to carry during prehospital treatment. The sensor is attached to the forehead of the patient and monitors rSO continuously during treatment and transfer.

RESULTS

No difficulties were experienced in monitoring rSO during patient treatment and transfer. Median time (interquartile range) from the emergency medical service call to emergency response vehicle arrival was 15.0 min (11.0-19.5 min). Median rSO on emergency response vehicle arrival at the scene was 46.3% (44.0-48.2%) ( = 9; median age, 74.0 years; four men, five women). Median rSO showed significant increase within 5 min after return of spontaneous circulation ( = 6, 46.6% versus 58.7%,  < 0.05). There was no significant increase in rSO during prehospital cardiopulmonary resuscitation until return of spontaneous circulation was established.

CONCLUSIONS

We developed an rSO monitoring system for use during prehospital cardiopulmonary resuscitation. The monitoring system showed a significant increase in rSO after return of spontaneous circulation, whereas there was no significant increase in rSO during cardiopulmonary resuscitation after intubation but before return of spontaneous circulation.

摘要

目的

我们旨在创建一个用于监测院前心肺骤停患者局部脑氧饱和度（rSO₂）的系统，并阐明心肺复苏期间rSO₂的变化情况。

方法

我们对由长崎大学医院急救车转运的心肺骤停患者测量了rSO₂。我们开发了一种便携式rSO₂监测仪（HAND ai TOS），其体积小到足以在院前治疗期间携带。该传感器附着于患者前额，在治疗和转运过程中持续监测rSO₂。

结果

在患者治疗和转运期间监测rSO₂未遇到困难。从急救医疗服务呼叫到急救车到达的中位时间（四分位间距）为15.0分钟（11.0 - 19.5分钟）。急救车到达现场时的rSO₂中位数为46.3%（44.0 - 48.2%）（n = 9；中位年龄，74.0岁；4名男性，5名女性）。自主循环恢复后5分钟内rSO₂中位数显著升高（n = 6，46.6%对58.7%，P < 0.05）。在建立自主循环之前，院前心肺复苏期间rSO₂无显著升高。

结论

我们开发了一种用于院前心肺复苏期间的rSO₂监测系统。该监测系统显示自主循环恢复后rSO₂显著升高，而在插管后但自主循环恢复前的心肺复苏期间rSO₂无显著升高。