Department of Anesthesiology, National Cerebral Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka, Japan.
Department of Anesthesiology, Nara Medical University, Kashihara, Japan.
J Anesth. 2019 Apr;33(2):167-196. doi: 10.1007/s00540-019-02610-y. Epub 2019 Feb 8.
Cerebral Oximetry by Near-infrared Spectroscopy (NIRS) has been used in cardiovascular anesthesia, but there was no guideline of regional cerebral oxygen saturation measured by cerebral oximetry by NIRS. This guideline provides recommendations applicable to patients at a risk of developing cerebral ischemia in cardiovascular surgery. Guidelines are intended to define practices meeting the needs of patients in most, but not all, circumstances, and should not replace clinical judgment. The Japanese Society of Cardiovascular Anesthesiologists (JSCVA) Task Force on Guidelines make an effort to ensure that the guideline writing committee contains broad views in using cerebral oximetry. Adherence to recommendations could be enhanced by shared decision making between healthcare providers and patients. This guideline was focused on cerebral oximetry of pediatric and adult cardiovascular disease. We hope this guideline would play an important role in using cerebral oximetry by measured NIRS.
近红外光谱脑氧饱和度监测（NIRS）已应用于心血管麻醉，但目前尚无 NIRS 脑氧饱和度测量的区域脑氧饱和度指南。本指南提供了适用于心血管手术中发生脑缺血风险患者的建议。指南旨在定义满足大多数但不是所有情况下患者需求的实践，不应替代临床判断。日本心血管麻醉师学会（JSCVA）指南工作组努力确保指南撰写委员会在使用脑氧饱和度方面具有广泛的观点。通过医疗保健提供者和患者之间的共同决策，可以增强对建议的遵守。本指南重点关注儿科和成人心血管疾病的脑氧饱和度。我们希望本指南将在使用 NIRS 测量的脑氧饱和度方面发挥重要作用。
