Současný koncept mozkové oximetrie v kardiochirurgii dospělých

Přes významné pokroky v chirurgické léčbě a operační technice se závažné pooperační komplikace vyskytují u 2–5 % kardiochirurgických pacientů. Cerebrální oxymetrie nabízí možnost okamžitého monitorování v situacích, které mohou vést k poškození mozkové tkáně. Přes nové pokroky vinfra-neared spektrometrii a získané informace z klinických studií, neprobíhá zavádění do klinické praxe tak rychle, jak se očekávalo. Důvodem jsou a) rozdíly mezi výzkumem modelových sitacích a použitím v biologických tkáních; b) chyby při obsluze; c) pohybové artefakty a multidistanční měření a d) rozdíly mezi jednotlivými přístroji. Přehledový článek popisuje použití mozkové oxymetrie u dospělých kardiochirurgických pacientů, ukazuje na přednosti a nedostatky metody, shrnuje hlavní vlastnosti nejpoužívanějších přístrojů a poskytuje aktuální přehled literárních údajů.

Klíčová slova:
neurologický výsledek – pooperační komplikace – mozková oxymetrie – kardiochirurgie

Autoři: Javier G. Castillo ¹; Amanda J. Rhee ²; George Silvay ²
Působiště autorů: Department of Cardiothoracic Surgery, The Mount Sinai Medical Center, New York, NY ¹; Department of Anesthesiology, The Mount Sinai Medical Center, New York, NY ²
Vyšlo v časopise: Anest. intenziv. Med., 23, 2012, č. 5, s. 242-252
Kategorie: Anesteziologie - Přehledový článek

Souhrn

Klíčová slova:
neurologický výsledek – pooperační komplikace – mozková oxymetrie – kardiochirurgie

Zdroje

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