Cargando…
Journal of clinical monitoring and computing 2016 end of year summary: monitoring cerebral oxygenation and autoregulation
In the perioperative and critical care setting, monitoring of cerebral oxygenation (ScO(2)) and cerebral autoregulation enjoy increasing popularity in recent years, particularly in patients undergoing cardiac surgery. Monitoring ScO(2) is based on near infrared spectroscopy, and attempts to early de...
Autores principales: | , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Netherlands
2017
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5346134/ https://www.ncbi.nlm.nih.gov/pubmed/28120178 http://dx.doi.org/10.1007/s10877-017-9980-7 |
_version_ | 1782513829905694720 |
---|---|
author | Scheeren, Thomas W. L. Saugel, Bernd |
author_facet | Scheeren, Thomas W. L. Saugel, Bernd |
author_sort | Scheeren, Thomas W. L. |
collection | PubMed |
description | In the perioperative and critical care setting, monitoring of cerebral oxygenation (ScO(2)) and cerebral autoregulation enjoy increasing popularity in recent years, particularly in patients undergoing cardiac surgery. Monitoring ScO(2) is based on near infrared spectroscopy, and attempts to early detect cerebral hypoperfusion and thereby prevent cerebral dysfunction and postoperative neurologic complications. Autoregulation of cerebral blood flow provides a steady flow of blood towards the brain despite variations in mean arterial blood pressure (MAP) and cerebral perfusion pressure, and is effective in a MAP range between approximately 50–150 mmHg. This range of intact autoregulation may, however, vary considerably between individuals, and shifts to higher thresholds have been observed in elderly and hypertensive patients. As a consequence, intraoperative hypotension will be poorly tolerated, and might cause ischemic events and postoperative neurological complications. This article summarizes research investigating technologies for the assessment of ScO(2) and cerebral autoregulation published in the Journal of Clinical Monitoring and Computing in 2016. |
format | Online Article Text |
id | pubmed-5346134 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Springer Netherlands |
record_format | MEDLINE/PubMed |
spelling | pubmed-53461342017-03-22 Journal of clinical monitoring and computing 2016 end of year summary: monitoring cerebral oxygenation and autoregulation Scheeren, Thomas W. L. Saugel, Bernd J Clin Monit Comput Review Paper In the perioperative and critical care setting, monitoring of cerebral oxygenation (ScO(2)) and cerebral autoregulation enjoy increasing popularity in recent years, particularly in patients undergoing cardiac surgery. Monitoring ScO(2) is based on near infrared spectroscopy, and attempts to early detect cerebral hypoperfusion and thereby prevent cerebral dysfunction and postoperative neurologic complications. Autoregulation of cerebral blood flow provides a steady flow of blood towards the brain despite variations in mean arterial blood pressure (MAP) and cerebral perfusion pressure, and is effective in a MAP range between approximately 50–150 mmHg. This range of intact autoregulation may, however, vary considerably between individuals, and shifts to higher thresholds have been observed in elderly and hypertensive patients. As a consequence, intraoperative hypotension will be poorly tolerated, and might cause ischemic events and postoperative neurological complications. This article summarizes research investigating technologies for the assessment of ScO(2) and cerebral autoregulation published in the Journal of Clinical Monitoring and Computing in 2016. Springer Netherlands 2017-01-24 2017 /pmc/articles/PMC5346134/ /pubmed/28120178 http://dx.doi.org/10.1007/s10877-017-9980-7 Text en © The Author(s) 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Review Paper Scheeren, Thomas W. L. Saugel, Bernd Journal of clinical monitoring and computing 2016 end of year summary: monitoring cerebral oxygenation and autoregulation |
title | Journal of clinical monitoring and computing 2016 end of year summary: monitoring cerebral oxygenation and autoregulation |
title_full | Journal of clinical monitoring and computing 2016 end of year summary: monitoring cerebral oxygenation and autoregulation |
title_fullStr | Journal of clinical monitoring and computing 2016 end of year summary: monitoring cerebral oxygenation and autoregulation |
title_full_unstemmed | Journal of clinical monitoring and computing 2016 end of year summary: monitoring cerebral oxygenation and autoregulation |
title_short | Journal of clinical monitoring and computing 2016 end of year summary: monitoring cerebral oxygenation and autoregulation |
title_sort | journal of clinical monitoring and computing 2016 end of year summary: monitoring cerebral oxygenation and autoregulation |
topic | Review Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5346134/ https://www.ncbi.nlm.nih.gov/pubmed/28120178 http://dx.doi.org/10.1007/s10877-017-9980-7 |
work_keys_str_mv | AT scheerenthomaswl journalofclinicalmonitoringandcomputing2016endofyearsummarymonitoringcerebraloxygenationandautoregulation AT saugelbernd journalofclinicalmonitoringandcomputing2016endofyearsummarymonitoringcerebraloxygenationandautoregulation |