Near-infrared spectroscopy in the postanesthesia recovery care unit: noninvasive monitoring of peripheral perfusion

被引：4

作者：

Borrat Frigola, X. ^{[1
]}

Mercadal Mercadal, J. ^{[1
]}

Zavala, E. ^{[1
]}

机构：

[1] Hosp Clin Barcelona, Serv Anestesiol & Reanimac, Unidad Cuidados Intens Quirurg, Barcelona, Spain

来源：

REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION | 2010年 / 57卷 / 06期

关键词：

Near infrared spectroscopy; Critical care; Monitoring; physiologic; Microcirculation; Shock:; septic; traumatic;

D O I：

10.1016/S0034-9356(10)70249-8

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Clinical signs of recovery, such as blood pressure or heart rate, do not accurately reflect the perfusion of organs and tissues in patients in critical condition. Of the various means for monitoring perfusion, regional monitors are the most sensitive. Near-infrared spectroscopy (NIRS), which analyzes infrared light detected after it has passed through red blood cells in tissues, provides a measure of oxygen saturation that is the most appropriate method for clinical situations. In patients with sepsis or multiple injuries, tissue oxygen saturation can be useful as an early indicator of shock, as a marker of recovery or need for transfusion, or as a prognostic factor. In spite of widespread interest in NIRS, however, there are gaps to fill in our understanding of clinical signs and physiology in relation to this technique before peripheral tissue monitoring can become routine in postanesthesia recovery care units.

引用

页码：364 / 373

页数：10

共 53 条

[1] The role of the endothelium in severe sepsis and multiple organ dysfunction syndrome [J].