连续脑血流监测：我们该如何处理这些额外的数据？
Continuous cerebral blood flow monitoring: What should we do with these extra numbers?
作者信息
Tupprasoot Raksa, Blaise Benjamin J
机构信息
Department of Paediatric Anaesthetics, Evelina London Children's Hospital, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Center for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, St. Thomas' Hospital, London, UK.
出版信息
BJA Open. 2023 Jun 23;7:100148. doi: 10.1016/j.bjao.2023.100148. eCollection 2023 Sep.
Abstract
NeoDoppler is a noninvasive monitoring device that can be attached to a patient's head to provide real-time continuous cerebral Doppler evaluation. A feasibility study shows that it can be used in operating theatres during anaesthesia to potentially guide haemodynamic management. We discuss the impact of this new device and which further research would be necessary to find its role in clinical practice.
摘要
NeoDoppler是一种无创监测设备，可附着在患者头部，以提供实时连续的脑多普勒评估。一项可行性研究表明，它可在麻醉期间用于手术室，以潜在地指导血流动力学管理。我们讨论了这种新设备的影响以及为确定其在临床实践中的作用还需要进行哪些进一步的研究。
相似文献
1
Continuous cerebral blood flow monitoring: What should we do with these extra numbers?连续脑血流监测：我们该如何处理这些额外的数据？
BJA Open. 2023 Jun 23;7:100148. doi: 10.1016/j.bjao.2023.100148. eCollection 2023 Sep.
2
NeoDoppler: New ultrasound technology for continous cerebral circulation monitoring in neonates.经颅多普勒：用于新生儿连续脑循环监测的新超声技术。
Pediatr Res. 2020 Jan;87(1):95-103. doi: 10.1038/s41390-019-0535-0. Epub 2019 Aug 12.
3
Continuous monitoring of cerebral blood flow during general anaesthesia in infants.婴儿全身麻醉期间脑血流的持续监测。
BJA Open. 2023 May 16;6:100144. doi: 10.1016/j.bjao.2023.100144. eCollection 2023 Jun.
4
Effects of tilt on cerebral hemodynamics measured by NeoDoppler in healthy neonates.经颅多普勒超声对健康新生儿脑血流动力学的影响。
Pediatr Res. 2021 Oct;90(4):888-895. doi: 10.1038/s41390-020-01354-w. Epub 2021 Jan 27.
5
Continuous oesophageal aortic blood flow echo-Doppler measurement during general anaesthesia in infants.婴儿全身麻醉期间食管主动脉血流的连续超声多普勒测量
Can J Anaesth. 1997 Jul;44(7):745-50. doi: 10.1007/BF03013390.
6
Low frequency cerebral arterial and venous flow oscillations in healthy neonates measured by NeoDoppler.通过NeoDoppler测量健康新生儿的低频脑动脉和静脉血流振荡。
Front Pediatr. 2022 Nov 28;10:929117. doi: 10.3389/fped.2022.929117. eCollection 2022.
7
Accuracy and limitations of continuous oesophageal aortic blood flow measurement during general anaesthesia for children: comparison with transcutaneous echography-Doppler.小儿全身麻醉期间连续食管主动脉血流测量的准确性和局限性：与经皮超声心动图-多普勒的比较
Paediatr Anaesth. 2001 May;11(3):309-17. doi: 10.1046/j.1460-9592.2001.00677.x.
8
Early continuous noninvasive haemodynamic monitoring after severe blunt trauma.严重钝性创伤后的早期持续无创血流动力学监测
Injury. 1999 Apr;30(3):209-14. doi: 10.1016/s0020-1383(98)00245-9.
9
Cerebral haemodynamic changes during propofol-remifentanil or sevoflurane anaesthesia: transcranial Doppler study under bispectral index monitoring.丙泊酚-瑞芬太尼或七氟醚麻醉期间的脑血流动力学变化：脑电双频指数监测下的经颅多普勒研究
Br J Anaesth. 2006 Sep;97(3):333-9. doi: 10.1093/bja/ael169. Epub 2006 Jul 7.
10
Detection of Cerebral High-Intensity Transient Signals by NeoDoppler during Cardiac Catheterization and Cardiac Surgery in Infants.NeoDoppler在婴儿心导管插入术和心脏手术期间对脑高强度瞬态信号的检测
Ultrasound Med Biol. 2022 Jul;48(7):1256-1267. doi: 10.1016/j.ultrasmedbio.2022.02.021. Epub 2022 Apr 8.
本文引用的文献
1
Safety of general anaesthetics on the developing brain: are we there yet?全身麻醉药对发育中大脑的安全性：我们做到了吗？
BJA Open. 2022 May 17;2:100012. doi: 10.1016/j.bjao.2022.100012. eCollection 2022 Jun.
2
Continuous monitoring of cerebral blood flow during general anaesthesia in infants.婴儿全身麻醉期间脑血流的持续监测。
BJA Open. 2023 May 16;6:100144. doi: 10.1016/j.bjao.2023.100144. eCollection 2023 Jun.
3
Ephedrine to treat intraoperative hypotension in infants: what is the target?麻黄碱用于治疗婴儿术中低血压：目标是什么？
Br J Anaesth. 2023 May;130(5):510-515. doi: 10.1016/j.bja.2023.02.007. Epub 2023 Mar 9.
4
A Scoping Review of Cerebral Doppler Arterial Waveforms in Infants.婴儿脑多普勒动脉波形的范围综述
Ultrasound Med Biol. 2023 Apr;49(4):919-936. doi: 10.1016/j.ultrasmedbio.2022.12.007. Epub 2023 Jan 31.
5
Effective dose of ephedrine for treatment of hypotension after induction of general anaesthesia in neonates and infants less than 6 months of age: a multicentre randomised, controlled, open label, dose escalation trial.麻黄碱用于治疗6个月以下新生儿和婴儿全身麻醉诱导后低血压的有效剂量：一项多中心随机、对照、开放标签、剂量递增试验。
Br J Anaesth. 2023 May;130(5):603-610. doi: 10.1016/j.bja.2022.12.006. Epub 2023 Jan 12.
6
Recommendations for standards of monitoring during anaesthesia and recovery 2021: Guideline from the Association of Anaesthetists.麻醉监测和复苏期间监测标准推荐 2021：麻醉师协会指南。
Anaesthesia. 2021 Sep;76(9):1212-1223. doi: 10.1111/anae.15501. Epub 2021 May 20.
7
Management of fluids in neonatal surgery.新生儿外科中的液体管理
BJA Educ. 2018 Jul;18(7):199-203. doi: 10.1016/j.bjae.2018.03.006. Epub 2018 May 21.
8
Consensus Guidelines for Perioperative Care in Neonatal Intestinal Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations.新生儿肠外科围手术期护理共识指南：术后加速康复（ERAS）学会推荐意见。
World J Surg. 2020 Aug;44(8):2482-2492. doi: 10.1007/s00268-020-05530-1.
9
Diagnostic and predictive value of Doppler ultrasound for evaluation of the brain circulation in preterm infants: a systematic review.多普勒超声评估早产儿脑循环的诊断和预测价值：系统评价。
Pediatr Res. 2020 Mar;87(Suppl 1):50-58. doi: 10.1038/s41390-020-0777-x.
10
NeoDoppler: New ultrasound technology for continous cerebral circulation monitoring in neonates.经颅多普勒：用于新生儿连续脑循环监测的新超声技术。
Pediatr Res. 2020 Jan;87(1):95-103. doi: 10.1038/s41390-019-0535-0. Epub 2019 Aug 12.
Zotero 插件