Near Infrared Spectroscopy

Near Infrared Spectroscopy
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DOI:
10.1002/9781118660584.ese1682
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发表时间:
2014-02
期刊:
--
影响因子:
--
通讯作者:
Sam Goldstein
Sam Goldstein
中科院分区:
其他
文献类型:
--
作者:
Sam Goldstein

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Despite significant advances in intensive care medicine, the management of brain injured patients has been hampered by the inability of clinicians to observe real-time changes in cerebral haemodynamics and oxygenation at the bedside. Near infrared spectroscopy (NIRS) has been used for this purpose for many years in neonatal intensive care and has the potential to be a monitor of cerebral well-being in adult intensive care and anaesthesia, particularly in the neurosciences. Although the principles underlying its use are relatively straightforward, they are often poorly understood. This review presents an overview of the physical principles involved in the measurement of tissue oxygenation with NIRS and describes how it may be used to continuously observe changes in cerebral haemodynamics and oxygenation. The clinical experience with NIRS is described in addition to the techniques for non-invasive measurement of cerebral blood flow (CBF) and cerebral blood volume (CBV).