The Use of Regional Cerebral Oximetry as a Non‑ invasive Method to Monitor Neurointensive Care Patients

Czech version

Authors: J. Habalová ¹; M. Kanta ¹; E. Ehler ²; J. Náhlovský ¹; M. Bartoš ¹
Authors‘ workplace: Neurochirurgická klinika LF UK a FN Hradec Králové ¹; Neurologická klinika, Pardubická krajská nemocnice, a. s. ²
Published in: Cesk Slov Neurol N 2010; 73/106(3): 285-293
Category: Short Communication

Overview

This study summarises the theoretical and practical aspects of non‑invasive continuous measurement of regional cerebral oxygenation using near‑ infrared spectroscopy (NIRS) in neurosurgical patients. The authors describe their own practical experience of monitoring patients with brain damage and also present illustrative case studies (a patient with severe cerebral contusions, a patient with subarachnoid haemorrhage and vasospasms arising out of aneurysm rupture, and a patient with spontaneous hypertonic intracerebral bleeding). A common aim in the treatment of neuro‑intensive patients is to maintain adequate cerebral oxygenation. Regional cerebral oximetry appears to be a promising non‑invasive method continuously to monitor the extent of cerebral damage in a neuro‑intensive care environment. The technique may prove to be a viable tool for fast and accurate diagnostics as well as reflecting the effect of treatment not only in neuro‑intensive care but in other clinical applications.

Key words:
traumatic brain injury – near-infrared spectroscopy – regional cerebral oximetry – intracranial pressure – vasospasms – cerebral ischemi

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