首页> 外文期刊>Internal medicine. >Cerebral Tissue Oxygenation Index Using Near-infrared Spectroscopy during Extracorporeal Cardio-pulmonary Resuscitation Predicted Good Neurological Recovery in a Patient with Acute Severe Anemia
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Cerebral Tissue Oxygenation Index Using Near-infrared Spectroscopy during Extracorporeal Cardio-pulmonary Resuscitation Predicted Good Neurological Recovery in a Patient with Acute Severe Anemia

机译:在体外心肺复苏过程中使用近红外光谱的脑组织氧合指数预测急性重度贫血患者的神经恢复良好

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摘要

We herein report the clinical course of a patient who had a good neurological outcome despite severe anemia, high serum lactate levels, and a long period of time from cardiac arrest (CA) to extracorporeal cardio-pulmonary resuscitation (ECPR) establishment. During the period of resuscitation, the tissue oxygenation index (TOI) values were measured continuously by a near-infrared spectroscopy monitoring device and were kept within the normal range. The TOI seems to reflect cerebral perfusion and the balance between the oxygen supply and demand in the brain during ECPR, thereby predicting the neurological outcome. Continuous TOI monitoring is useful for predicting the neurological outcome during ECPR.
机译:我们在这里报告了尽管严重贫血,高血清乳酸水平以及从心脏骤停(CA)到体外心肺复苏(ECPR)建立需要很长时间的神经系统预后良好的患者的临床病程。在复苏期间,通过近红外光谱监测装置连续测量组织氧合指数(TOI)值,并将其保持在正常范围内。 TOI似乎反映了ECPR期间的脑灌注以及大脑供氧与供氧之间的平衡,从而预测了神经学结果。连续的TOI监测对于预测ECPR期间的神经系统结局非常有用。

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