Advancing Patient Care: The Role of Cerebral Oximetry in Intensive Care Units
Year 2024,
, 156 - 160, 28.07.2024
Sema Turan
,
Sultan Sevim-yakın
Abstract
Yoğun bakımlarda hasta takibinin en önemli parametrelerinden birisi monitörizasyondur. Beyin metabolik olarak en aktif organlarımızdan birisi olup hipoksi ve iskemiye karşı çok duyarlıdır. Dolayısıyla serebral oksijenizasyonunun takibi önemlidir. Serebral doku oksijenizasyon takibinde birçok yöntem olmakla birlikte yatak başı kullanımı, non-invaziv olması ve kullanım kolaylığı nedeniyle serebral oksimetreler sıklıkla kullanılmaktadır. Bu cihazlar yakın kızılötesi ışığın oksijenize hemoglobin ve deoksijenize hemoglobin tarafından farklı oranlarda absorbe edilmesi temeline dayanarak çalışmaktadır. Yoğun bakımlarda travmatik beyin hasarı olan (TBI, kanama, stroke) hastalarda serebral iskemi ya da hipoksiyi erken tespit edip ikincil hasarı önlemek amacıyla kullanılabilmektedir
References
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Year 2024,
, 156 - 160, 28.07.2024
Sema Turan
,
Sultan Sevim-yakın
References
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- 2. Schell RM, Cole DJ. Cerebral Monitoring: Jugular Venous Oximetry. Anesth. Analg. 2000; 90:559-66.
- 3. Samra SK, Rajajee V. Monitoring of Jugular Venous Oxygen Saturation. In Monitoring the Nervous System for Anesthesiologists and Other Health Care Professionals; Koht, A., Sloan, T.B., Toleikis, J.R., Eds.; Springer US: Boston, MA, USA, 2012; pp. 255-77.
- 4. Nortje J, Gupta AK. The role of tissue oxygen monitoring in patients with acute brain injury. Br. J. Anaesth. 2006; 97:95–106.
- 5. Hollinger A, Siegemund M, Cueni N, Steiner LA. Brain Tissue Oxygenation. In Neuromonitoring Techniques; Academic Press: Pittsburgh, PA, USA, 2018; pp. 249–280.
- 6. Ghosh A, Elwell C, Smith M. Review article: cerebral near infrared spectroscopy in adults: a work in progress. Anesth Analg. 2012; 115(6):1373-83.
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- 8. Tak S, Ye JC. Statistical analysis of fNIRS data: A comprehensive review. NeuroImage. 2014; 85:72–91.
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- 11. Matcher SJ, Elwell CE, Cooper CE, Cope M, Delpy DT. Performance comparison of several published tissue near-infrared spectroscopy algorithms. Anal Biochem. 1995; 227(1):54-68.
- 12. Goldman S, Sutter F, Ferdinand F, Trace C. Optimizing intraoperative cerebral oxygen delivery using noninvasive cerebral oximetry decreases the incidence of stroke for cardiac surgical patients. Heart Surg Forum. 2004; 7(5):E376-81.
- 13. Richter OM, Ludwig B. Cytochrome c oxidase--structure, func tion, and physiology of a redox-driven molecular machine. Rev Physiol Biochem Pharmacol. 2003; 147:47-74.
- 14. Springett RJ, Wylezinska M, Cady EB, Hollis V, Cope M, Delpy DT. The oxygen dependency of cerebral oxidative metabolism in the newborn piglet studied with 31P NMRS and NIRS. Adv Exp Med Biol. 2003; 530:555-63.
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- 26. Gruartmoner G, Mesquida J, Ince C. Microcirculatory monitoring in septic patients: Where do we stand? Med Intensiva. 2017; 41(1):44-52.
- 27. Tsukuda J, Fujitani S, Morisawa K et al. Near-infrared spectroscopy monitoring during out-of-hospital cardiac arrest: can the initial cerebral tissue oxygenation index predict ROSC? Emerg Med J. 2019; 36(1):33-38.
- 28. Schnaubelt S, Sulzgruber P, Menger J et al. Regional cerebral oxygen saturation during cardiopulmonary resuscitation as a predictor of return of spontaneous circulation and favourable neurological outcome - A review of the current literature. Resuscitation. 2018; 125:39-47.
- 29. Parnia S, Yang J, Nguyen R et al. Cerebral Oximetry During Cardiac Arrest: A Multicenter Study of Neurologic Outcomes and Survival. Crit Care Med. 2016; 44(9):1663-74.