Near-infrared spectroscopy as an index of brain and tissue oxygenation.

Near-infrared spectroscopy as an index of brain and tissue oxygenation.
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DOI:
10.1093/bja/aep299
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发表时间:
2009-12-01
影响因子:
9.8
通讯作者:
Arango, M
Arango, M
中科院分区:
医学1区
文献类型:
--
作者:
Murkin, J M;Arango, M

文献摘要

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连续实时监测脑灌注的充分性可以在各种临床环境中提供重要的治疗信息。几种基于非侵入性近红外光谱(NIRS)的脑血氧测定装置的当前临床可用性代表了用于检测脑缺血的潜在重要发展。此外,许多初步研究报告了脑血氧传感器在其他组织床(包括内脏、肾脏和脊髓)中的应用。本综述简要介绍了这种近红外装置的操作模式、目前的局限性和混杂因素、临床应用以及未来的潜在用途。
Continuous real-time monitoring of the adequacy of cerebral perfusion can provide important therapeutic information in a variety of clinical settings. The current clinical availability of several non-invasive near-infrared spectroscopy (NIRS)-based cerebral oximetry devices represents a potentially important development for the detection of cerebral ischaemia. In addition, a number of preliminary studies have reported on the application of cerebral oximetry sensors to other tissue beds including splanchnic, renal, and spinal cord. This review provides a synopsis of the mode of operation, current limitations and confounders, clinical applications, and potential future uses of such NIRS devices.