A Proposed Algorithm for the Intraoperative Use of Cerebral Near-Infrared Spectroscopy

被引：227

作者：

Denault, Andre ^{[1
]}

Deschamps, Alain ^{[1
]}

Murkin, John M. ^{[2
]}

机构：

[1] Montreal Heart Inst, Dept Anesthesiol, 5000 Rue Belanger, Montreal, PQ H1T 1C8, Canada

[2] Univ Western Ontario, Univ Hosp, Dept Anesthesiol & Perioperat Med, London, ON, Canada

来源：

SEMINARS IN CARDIOTHORACIC AND VASCULAR ANESTHESIA | 2007年 / 11卷 / 04期

关键词：

near-infrared spectroscopy; brain oximetry; neurological monitoring; cardiopulmonary bypass;

D O I：

10.1177/1089253207311685

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Near-infrared spectroscopy (NIRS) is a technique that can be used as a noninvasive and continuous monitor of the balance between cerebral oxygen delivery and consumption. The authors develop and propose an algorithm for the use of NIRS based on optimizing factors that can affect cerebral oxygen supply/demand. These factors are the position of the vascular cannula, perfusion pressure, arterial oxygen content, partial pressure of carbon dioxide, haemoglobin, cardiac output, and the cerebral metabolic rate of oxygen. Dissemination of a useful treatment algorithm is the primary purpose of this article. Further multicenter studies are necessary to confirm the benefits and cost-effectiveness of this promising monitoring modality.

引用

页码：274 / 281

页数：8

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