医学
近红外光谱
灌注
脑组织
围手术期
充氧
肌肉组织
心脏病学
病理
重症监护医学
麻醉
内科学
神经科学
生物
作者
Jafer Ali,Joseph Cody,Yasdet Maldonado,Harish Ramakrishna
标识
DOI:10.1053/j.jvca.2021.07.015
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.
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