{"title":"围手术期脑保护的多模式神经监测","authors":"Harvey L. Edmonds Jr PhD","doi":"10.1053/j.sane.2005.10.004","DOIUrl":null,"url":null,"abstract":"<div><p>Perioperative brain injury is unfortunately a common occurrence. A large body of evidence indicates that the two major causes of this injury are embolism and a mismatch between regional cerebral oxygen supply and demand. Multimodality neuromonitoring detects these developing signs of injury and assesses the effectiveness of corrective action. Three non-invasive modalities continuously measure (1) embolism and cerebral blood flow change using transcranial Doppler ultrasound, (2) regional cerebral oxygen balance with transcranial near-infrared spectroscopy, and (3) functional change in cerebral cortical synaptic activity via EEG. When guided by standardized intervention protocols, neuromonitoring reduces neurologic injury and hospital costs.</p></div>","PeriodicalId":82686,"journal":{"name":"Seminars in anesthesia","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.sane.2005.10.004","citationCount":"3","resultStr":"{\"title\":\"Multimodality neuromonitoring for perioperative brain protection\",\"authors\":\"Harvey L. Edmonds Jr PhD\",\"doi\":\"10.1053/j.sane.2005.10.004\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>Perioperative brain injury is unfortunately a common occurrence. A large body of evidence indicates that the two major causes of this injury are embolism and a mismatch between regional cerebral oxygen supply and demand. Multimodality neuromonitoring detects these developing signs of injury and assesses the effectiveness of corrective action. Three non-invasive modalities continuously measure (1) embolism and cerebral blood flow change using transcranial Doppler ultrasound, (2) regional cerebral oxygen balance with transcranial near-infrared spectroscopy, and (3) functional change in cerebral cortical synaptic activity via EEG. When guided by standardized intervention protocols, neuromonitoring reduces neurologic injury and hospital costs.</p></div>\",\"PeriodicalId\":82686,\"journal\":{\"name\":\"Seminars in anesthesia\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2005-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1053/j.sane.2005.10.004\",\"citationCount\":\"3\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Seminars in anesthesia\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0277032605000565\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Seminars in anesthesia","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0277032605000565","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Multimodality neuromonitoring for perioperative brain protection
Perioperative brain injury is unfortunately a common occurrence. A large body of evidence indicates that the two major causes of this injury are embolism and a mismatch between regional cerebral oxygen supply and demand. Multimodality neuromonitoring detects these developing signs of injury and assesses the effectiveness of corrective action. Three non-invasive modalities continuously measure (1) embolism and cerebral blood flow change using transcranial Doppler ultrasound, (2) regional cerebral oxygen balance with transcranial near-infrared spectroscopy, and (3) functional change in cerebral cortical synaptic activity via EEG. When guided by standardized intervention protocols, neuromonitoring reduces neurologic injury and hospital costs.
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