Drennan Ian R, Gilgan Joshua, Goncharenko Karina, Lin Steve
Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Ontario, Canada.
Institute of Medical Science, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
CJC Open. 2019 Jul 16;1(5):256-260. doi: 10.1016/j.cjco.2019.07.002. eCollection 2019 Sep.
Near-infrared spectroscopy (NIRS) provides continuous real-time measurement of regional cerebral oxygen saturation (rSO) during resuscitation. We aimed to evaluate the feasibility of paramedics using NIRS during out-of-hospital cardiac arrest (OHCA) resuscitation. Paramedics were trained to record rSO and mark events during resuscitation. Feasibility was defined as > 70% of cases with rSO data and event markers. The monitor was applied on 23 patients with OHCA. Of these, 19 (83%) had rSO data (median duration of 17.9 minutes; interquartile range, 9.7-28) and 17 (74%) had event markers (median 3 events per case; interquartile range, 1-4). It is feasible for paramedics to apply NIRS during OHCA resuscitation.
近红外光谱技术（NIRS）可在复苏过程中对局部脑氧饱和度（rSO）进行连续实时测量。我们旨在评估护理人员在院外心脏骤停（OHCA）复苏期间使用NIRS的可行性。护理人员接受培训，以记录rSO并在复苏过程中标记事件。可行性定义为有rSO数据和事件标记的病例超过70%。该监测仪应用于23例OHCA患者。其中，19例（83%）有rSO数据（中位持续时间为17.9分钟；四分位间距，9.7 - 28），17例（74%）有事件标记（每例中位事件数为3次；四分位间距，1 - 4）。护理人员在OHCA复苏期间应用NIRS是可行的。
