The role of noninvasive brain oximetry in adult critically ill patients without primary non-anoxic brain injury.

Détails

ID Serval
serval:BIB_1A0A2A59B555
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
The role of noninvasive brain oximetry in adult critically ill patients without primary non-anoxic brain injury.
Périodique
Minerva anestesiologica
Auteur⸱e⸱s
Badenes R., Gouvea Bogossian E., Chisbert V., Robba C., Oddo M., Taccone F.S., Matta B.F.
ISSN
1827-1596 (Electronic)
ISSN-L
0375-9393
Statut éditorial
Publié
Date de publication
11/2021
Peer-reviewed
Oui
Volume
87
Numéro
11
Pages
1226-1238
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
A primary objective in intensive care and perioperative settings is to promote an adequate supply and delivery of oxygen to tissues and organs, particularly to the brain. Cerebral near infrared spectroscopy (NIRS) is a noninvasive, continuous monitoring technique, that can be used to assess cerebral oxygenation. Using NIRS to monitor cerebral oximetry is not new and has been in widespread use in neonates and cardiac surgery for decades. In addition, it has become common to see NIRS being used in adult and pediatric cardiac surgery, acute neurological diseases, neurosurgical procedures, vascular surgery, severe trauma and other acute medical diseases. Furthermore, recent evidence suggests a role for NIRS in the perioperative settings; detecting and preventing episodes of cerebral desaturation aiming to reduce the development of postoperative delirium. NIRS is not without its limitations; these include the risk of extra-cranial contamination, spatial limitations and skin blood flow/volume changes, as well being a measure of localized blood oxygenation underneath the sensor. However, NIRS is a noninvasive technique and can be used in those patients without indications or justification for invasive brain monitoring; non-neurosurgical procedures such as liver transplantation, major orthopedic surgery and critically illness where the brain is at risk. The aim of this manuscript was to discuss the physical principles of NIRS and to report the current evidence regarding its use in critically ill patients without primary non-anoxic brain injury.
Mots-clé
Adult, Brain, Brain Injuries, Cerebrovascular Circulation, Child, Critical Illness, Humans, Infant, Newborn, Oximetry, Oxygen
Pubmed
Web of science
Création de la notice
19/05/2021 13:14
Dernière modification de la notice
07/12/2021 7:37
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