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[麻醉与脑监测仪(ABM)的临床经验]

[Clinical experiences with the anesthesia and brain monitor (ABM)].

作者信息

Kochs E

出版信息

Anasth Intensivther Notfallmed. 1985 Jun;20(3):151-4.

PMID:2994514
Abstract

The Anaesthesia and Brain Monitor (ABM) was employed in 83 patients (of 24 to 86 years of age) who were subjected to abdominal surgery, and in 21 intensive-care patients under artificial respiration and sedative treatment (of 45 to 74 years of age), the equipment being used for monitoring anaesthesia or sedation. With this method it became possible to effect a largely integrated surveillance of EEG, EMG, NMT, pCO2, as well as, if desired, external blood pressure measurement by time-synchronous measurement and integration of parameters largely used singly in clinical practice to date. Whereas the EEG parameters (amplitude, frequency), if considered singly, do not yield clear information on the stage of anaesthesia, they can supply additional information especially in very light or very deep anaesthesia, together with the other measured parameters. In intensive care, they afford an estimation of the degree of the sedation.

摘要

83例(年龄24至86岁)接受腹部手术的患者以及21例(年龄45至74岁)接受人工呼吸和镇静治疗的重症监护患者使用了麻醉与脑监测仪(ABM),该设备用于监测麻醉或镇静情况。通过这种方法,可以通过对目前临床实践中大多单独使用的参数进行时间同步测量和整合,实现对脑电图(EEG)、肌电图(EMG)、神经肌肉传递(NMT)、二氧化碳分压(pCO2)以及必要时的体外血压测量进行大致综合的监测。虽然单独考虑脑电图参数(幅度、频率)并不能提供关于麻醉阶段的明确信息,但它们可以提供额外信息,特别是在浅麻醉或深麻醉状态下,与其他测量参数一起使用时。在重症监护中,它们可用于评估镇静程度。

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