Multimodal Cerebral Monitoring in Comatose Head-Injured Patients
Multimodal Cerebral Monitoring in Comatose Head-Injured Patients
复制标题
昏迷头部受伤患者的多模式脑监测
DOI：
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发表时间：
1998
影响因子：
2.4
通讯作者：
Wolfgang R. Lanksch
中科院分区：
文献类型：
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作者：
T. Bardt;A. Unterberg;K. Kiening;Gerd;Wolfgang R. Lanksch
神经外科重症监护室（NICU）中昏迷患者的监测随着新的脑功能、代谢和氧合监测方法的发展而不断扩展。为了简化越来越多的参数的解释，并避免数据溢出，多模式脑监测（MCM）系统已开发的采集，显示，在线分析和记录的生理参数从多个床边数据源。本文描述了用于临床患者监测和研究中的各种应用的计算机化数据采集系统的技术细节和设计。Windows ®（Microsoft® Corporation，Redmont，华盛顿）平台配备有模拟/数字转换器板。使用图形编程系统LabVIEW® for Windows ®（National Instruments®，Austin，Texas）开发多模式脑监测软件。创建了两个软件模块：一个用于自动采集数据、显示随时间变化的趋势图、处理在线直方图、研究的特殊功能以及以兼容格式存储数据。另一个模块作为离线监视器，以各种方式显示记录的数据。MCM系统已用于30例重型颅脑损伤昏迷患者。MCM的平均时间为5.3天（±2.8天），导致系统的总运行时间约为3800小时。系统硬件和软件运行稳定、安全，已成为昏迷病人监护的有效工具。同时显示各种监测参数的趋势图和直方图的在线处理，改善了对ICU患者状况的调查。对记录的数据进行了离线分析，并为不断增加的数据库做出了贡献。
Summary Monitoring of comatose patients in the neurosurgical intensive care unit (NICU) is constantly extended by the development of new methods for monitoring of cerebral function, metabolism and oxygenation. To simplify the interpretation of the rising number of parameters, and to avoid data overflow, a multimodal cerebral monitoring (MCM) system has been developed for the acquisition, display, on-line analysis and recording of physiological parameters from multiple bedside data sources. This article describes the technical details and the design of this computerized data acquisition system for variable applications in clinical patient monitoring and research.A Windows© (Microsoft® Corporation, Redmont, Washington) platform was equipped with an analog/digital converter board. Software for multimodal cerebral monitoring was developed using LabVIEW® for Windows© (National Instruments®, Austin, Texas), a graphical programming system. Two software modules were created: One for the automatic acquisition of data, display of time dependent trend graphs, processing of on-line histograms, special functions for research, and storage of data in compatible format. The other module serves as an off-line monitor to display recorded data in various modalities.The MCM system has been used in 30 comatose patients with severe head injury. Mean time of MCM is 5.3 days (±2.8 days), resulting in a total running time of the system of about 3800 hrs. Hardware and software proved to run stable and safe.The MCM system has become a valuable tool for monitoring of comatose patients. The simultaneous display of trend graphs of various monitoring parameters and the online processing of histograms improved the survey of the patient's condition in the ICU. Recorded data were analysed offline and contribute to a consecutively increasing data bank.