Miller J D, Piper I R, Jones P A
Department of Clinical Neurosciences, University of Edinburgh, Scotland, United Kingdom.
Neurosurg Clin N Am. 1994 Oct;5(4):661-70.
The selection of variables for continuous monitoring in the neurosurgical intensive care unit is based upon the requirement for constant perfusion and oxygenation of the brain and knowledge of the frequency and prognostic significance of abnormal values. Both arterial and intracranial pressure must be considered in the form of cerebral perfusion pressure. Body temperature and arterial oxygen saturation are essential to monitoring. Measurement of jugular venous oxygen saturation and cerebral blood flow velocity provide information of value in determining the source of raised intracranial pressure, the most appropriate means of treating it, and the safety of therapy.
神经外科重症监护病房连续监测变量的选择基于大脑持续灌注和氧合的要求以及对异常值出现频率和预后意义的了解。必须将动脉压和颅内压以脑灌注压的形式加以考虑。体温和动脉血氧饱和度对于监测至关重要。测量颈静脉血氧饱和度和脑血流速度可为确定颅内压升高的原因、最恰当的治疗方法以及治疗的安全性提供有价值的信息。
