Usefulness of Cerebral Oximetry in TBI by NIRS.

Usefulness of Cerebral Oximetry in TBI by NIRS.
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DOI:
10.3390/jcm10132938
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发表时间:
2021-06-30
影响因子:
3.9
通讯作者:
Badenes R
Badenes R
中科院分区:
医学2区
文献类型:
--
作者:
Barud M;Dabrowski W;Siwicka-Gieroba D;Robba C;Bielacz M;Badenes R

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通过近红外光谱测量脑血氧饱和度提供了关于中枢神经系统中血红蛋白的氧饱和度的连续和非侵入性信息。这在创伤性脑损伤患者的情况下尤其重要。监测这些患者的脑血氧饱和度可以诊断脑血流紊乱引起的脑氧合不足。它可以识别缺氧和脑缺血发作。连续床旁测量有助于颅内出血或脑血管自动调节障碍的快速诊断,加快治疗的实施。然而,应该记住的是,通过近红外光谱监测脑血氧饱和度的方法也有其许多局限性,主要是由于其物理特性。本文总结了近红外光谱监测脑血氧饱和度在创伤性脑损伤患者中的作用,考虑到这种技术的优点和缺点。
Measurement of cerebral oximetry by near-infrared spectroscopy provides continuous and non-invasive information about the oxygen saturation of haemoglobin in the central nervous system. This is especially important in the case of patients with traumatic brain injuries. Monitoring of cerebral oximetry in these patients could allow for the diagnosis of inadequate cerebral oxygenation caused by disturbances in cerebral blood flow. It could enable identification of episodes of hypoxia and cerebral ischemia. Continuous bedside measurement could facilitate the rapid diagnosis of intracranial bleeding or cerebrovascular autoregulation disorders and accelerate the implementation of treatment. However, it should be remembered that the method of monitoring cerebral oximetry by means of near-infrared spectroscopy also has its numerous limitations, resulting mainly from its physical properties. This paper summarizes the usefulness of monitoring cerebral oximetry by near-infrared spectroscopy in patients with traumatic brain injury, taking into account the advantages and the disadvantages of this technique.
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