Teo Elliot J, Petautschnig Sigrid, Chung Sung Wook, Hellerstedt Jack, Savage Jacqui, Dixon Barry
Cyban Pty Ltd, Melbourne, VIC, Australia.
Department of Critical Care Medicine, St Vincent's Hospital, Melbourne, VIC, Australia.
Med Devices (Auckl). 2024 Dec 11;17:491-511. doi: 10.2147/MDER.S498589. eCollection 2024.
Early detection of neurological deterioration in serious acute brain injury is seen as an important goal to reduce death and disability, but monitoring for neurological deterioration remains challenging. Routine methods, such as neurological examination and brain imaging, often identify brain injuries only after they have progressed to an irreversible stage. Alternate approaches such as invasive brain monitoring, are complex, costly and carry inherent risks. The optical brain pulse monitor (OBPM) is a novel, non-invasive, safe, and continuous monitoring device designed to provide earlier detection of neurological deterioration and address the limitations of traditional approaches. This review presents the development, technical aspects, and clinical results from past and ongoing trials over the last five years.
在严重急性脑损伤中早期发现神经功能恶化被视为降低死亡和残疾的一个重要目标,但对神经功能恶化的监测仍然具有挑战性。常规方法,如神经检查和脑部成像,往往只有在脑损伤发展到不可逆阶段后才能识别出来。诸如有创脑监测等替代方法复杂、昂贵且存在固有风险。光学脑脉冲监测仪(OBPM)是一种新型的、无创的、安全的连续监测设备,旨在更早地检测神经功能恶化并解决传统方法的局限性。本综述介绍了过去五年及正在进行的试验的发展、技术方面和临床结果。