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High-Performance Bioinstrumentation for Real-Time Neuroelectrochemical Traumatic Brain Injury Monitoring

机译:用于实时神经电化学创伤性脑损伤监测的高性能生物仪器

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摘要

Traumatic brain injury (TBI) has been identified as an important cause of death and severe disability in all age groups and particularly in children and young adults. Central to TBIs devastation is a delayed secondary injury that occurs in 30–40% of TBI patients each year, while they are in the hospital Intensive Care Unit (ICU). Secondary injuries reduce survival rate after TBI and usually occur within 7 days post-injury. State-of-art monitoring of secondary brain injuries benefits from the acquisition of high-quality and time-aligned electrical data i.e., ElectroCorticoGraphy (ECoG) recorded by means of strip electrodes placed on the brains surface, and neurochemical data obtained via rapid sampling microdialysis and microfluidics-based biosensors measuring brain tissue levels of glucose, lactate and potassium. This article progresses the field of multi-modal monitoring of the injured human brain by presenting the design and realization of a new, compact, medical-grade amperometry, potentiometry and ECoG recording bioinstrumentation. Our combined TBI instrument enables the high-precision, real-time neuroelectrochemical monitoring of TBI patients, who have undergone craniotomy neurosurgery and are treated sedated in the ICU. Electrical and neurochemical test measurements are presented, confirming the high-performance of the reported TBI bioinstrumentation.
机译:在所有年龄段,特别是在儿童和年轻人中,颅脑外伤(TBI)被确定为导致死亡和严重残疾的重要原因。 TBI毁灭的中心是延迟的继发性损伤,每年,当他们在医院的重症监护病房(ICU)中时,发生在TBI患者中的30-40%。继发性损伤会降低TBI后的生存率,通常会在受伤后7天内发生。对继发性脑损伤的最新监控得益于高质量和时间对齐的电数据的采集,例如,通过置于脑表面的条形电极记录的电皮质图(ECoG),以及通过快速采样微透析获得的神经化学数据以及基于微流体的生物传感器,可测量大脑组织中葡萄糖,乳酸和钾的水平。本文通过介绍一种新型的,紧凑的,医学级电流分析法,电位分析法和ECoG记录生物仪器的设计和实现,来发展对受伤的人脑的多模式监视领域。我们的组合TBI仪器能够对经过开颅神经外科手术并在ICU中进行镇静治疗的TBI患者进行高精度,实时的神经电化学监测。进行了电学和神经化学测试,证实了所报道的TBI生物仪器的高性能。

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