Near-Infrared Spectroscopy (NIRS) for Cerebral and Tissue Oximetry: Analysis of Evolving Applications

被引:40
作者
Ali, Jafer [1 ]
Cody, Joseph [2 ]
Maldonado, Yasdet [1 ]
Ramakrishna, Harish [3 ]
机构
[1] Cleveland Clin, Dept Cardiothorac Anesthesiol, Anesthesiol Inst, Cleveland, OH 44106 USA
[2] Ohio State Wexner Med Ctr, Dept Anesthesiol, Div Cardiothorac Anesthesiol, Columbus, OH USA
[3] Mayo Clin, Div Cardiovasc & Thorac Anesthesiol, Dept Anesthesiol & Perioperat Med, 200 First St SW, Rochester, MN 55901 USA
关键词
NIRS; cerebral oximetry; tissue oximetry; outcomes; SPINAL-CORD ISCHEMIA; OXYGEN-SATURATION; CARDIAC-SURGERY; CARDIOPULMONARY BYPASS; LUNG VENTILATION; RISK-FACTORS; FLOW; DESATURATION; ENDARTERECTOMY; MANAGEMENT;
D O I
10.1053/j.jvca.2021.07.015
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
THE USE OF NEAR-INFRARED SPECTROSCOPY (NIRS) has increased significantly worldwide in the past decade. This technology, first described more than 40 years ago, is based on the fact that near-infrared light is able to penetrate biologic tissue and can obtain real-time, noninvasive information on tissue oxygenation and metabolism. In the clinical setting, NIRS has been able to provide clinicians potentially valuable information in patients with impaired microcirculations (systemic and cerebral). Near-infrared spectroscopy has progressed beyond assessment of brain oxygenation to monitor local tissue and muscle oxygenation and perfusion. This review analyzes the published data and provides the clinician a comprehensive account of the perioperative utility of NIRS in cardiac, vascular and thoracic surgery, as well as its increasing role in tissue/muscle oxygenation monitoring.
引用
收藏
页码:2758 / 2766
页数:9
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