Pregledni rad
https://doi.org/10.26800/LV-145-supl4-6
Brain oxygenation monitoring
Miljenko Crnjaković
; Zavod za neurologiju, Klinička bolnica „Dubrava
Sažetak
Maintaining an adequate oxygen supply to the brain in accordance with metabolic needs is a key step in the management of patients with acute brain injury in the Intensive Care Unit (ICU), whether they are patients with traumatic brain injury (TBI), intracerebral (ICH) or subarachnoid hemorrhage (SAH), or during the perioperative care of patients in whom neurosirguical, cardiosurgical or vascular surgery procedures are planned. These patients are at increased risk of developing secondary brain injury as a result of hypoxia and ischemia. Brain oxygenation monitoring was developed with the aim of preventing secondary brain injury. Available methods can be divided into non-invasive – currently the only one available is near-infrared spectroscopy (NIRS), and invasive such as monitoring of jugular venous oxygen saturation (SjvO2) and monitoring of the partial pressure of oxygen in the brain parenchyma (PtiO2). Each of the methods has its own advantages and disadvantages, with its purpose in clinical setting, and the same will be presented in this paper along with the description of the method and its clinical application.
Ključne riječi
CEREBRAL OXYGENATION; JUGULAR VENOUS SATURATION; BRAIN TISSUE OXYGEN TENSION; NEAR-INFRARED SPECTROSCOPY
Hrčak ID:
310058
URI
Datum izdavanja:
20.11.2023.
Posjeta: 238 *