大脑健康:麻醉科医生和重症监护医生的担忧
Vincent Bonhomme1, Christian Putensen1, Bernd W Böttiger1
1From the Department of Anesthesia and Intensive Care Medicine (VB), Anesthesia and Perioperative Neuroscience Laboratory, GIGA-Consciousness Thematic Unit, GIGA-Research, Liege University Hospital, Liege, Belgium (VB, AD), Department of Anesthesiology and Intensive Care Medicine, University Hospital Bonn, Bonn (CP), University of Cologne, Medical Faculty, and Department of Anaesthesiology and Intensive Care Medicine, University Hospital of Cologne, Cologne, Germany (BWB), Department of Anesthesiology, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands (MFS), Division of Anaesthesia, Pain Medicine and Intensive Care, Imperial College London, Royal Brompton & Harefield Hospitals, Guy's & St. Thomas' NHS, London, United Kingdom (NM), Department of Anaesthesia and Intensive Care, Semmelweis University, Budapest, Hungary (NM), Anaesthesiology Department, Hospital Universitario Fundacion Alcorcon, Alcorcon, Spain (DA), General Intensive Care Unit, Division of Anesthesiology and Intensive Care, Soroka University Medical Center, Ben Gurion University of the Negev, Beer- Sheva, Israel (EB), Department of Anesthesiology, Rambam Healthcare Campus (AR), The Ruth and Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel (AR), University Department of Anesthesia and Intensive Care Medicine, CHR Citadelle (AD), Department of Anesthesia and Intensive Care Medicine, Liege University Hospital, Liege, Belgium (AD), Department of Intensive Care Medicine, Erasme Hospital - University Hospital of Brussels, Université Libre de Bruxelles, Brussels, Belgium (EB), Department of Medical Intensive Care, Hadassah Medical Center and Faculty of Medicine, Hebrew University of Jerusalem, Israel (SS), Coma Science Group, GIGA-Consciousness, Liege University, Belgium, and Centre du Cerveau, Liege University Hospital, Liege, Belgium (PC), Institute of Anesthesiology, University Hospital Zurich, Zurich, Switzerland (AM), Dipartimento di Scienze Chirurgiche Diagnostiche e Integrate, University of Genoa (CR), IRCCS Policlinico San Martino, Genoa, Italy (CR), Department of Anaesthesiology and Intensive Care, Cerrahpasa Faculty of Medicine, Istanbul University- Cerrahpasa, Istanbul, Turkey (OKD), Department of Neurology, Liege University Hospital, Liege, Belgium (JL), Emergency Department, University Hospital Zurich, Zurich, Switzerland (MIC), Department of Anesthesia, Adrz-Erasmus MC, Goes, the Netherlands (JCDG), Department of Anesthesiology, Weill Cornell Medicine, New York, USA (JCDG, LE), Department of Anesthesiology and Perioperative Medicine, University Hospital of Brussels, Brussels, Belgium (NN), University Hospitals of Geneva, Geneva, Switzerland (LV), Department of Anesthesiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands (AA, MS), Department of Anesthesiology and Intensive Care Medicine | CCM | CVK, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany (IA, FY), Department of Anesthesiology, Cliniques universitaires Saint Luc (QS, MM), Institut de Recherche Expérimentale et Clinique (MM, CK), Institute of Neuroscience, Université catholique de Louvain, Brussels, Belgium (MM, CK), Department of Anaesthesiology, Auckland City Hospital, Auckland, New Zealand (DC), Department of Critical Care, School of Medicine, University of Melbourne (LE), Department of Anaesthesia and Acute Pain Medicine, St. Vincent's Hospital Melbourne, Melbourne, Australia (LE), Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, USA (SV), Department of Anaesthesiology-Critical Care, AZ Sint-Jan, Bruges, Belgium (SS), Hospital La Conception and Aix-Marseille University, Marseille, France (NB), Tip Fakültesi, Cerrahi Tip Bilimleri, Anesteziyoloji ve Reanimasyon, Gazi University, Ankara, Turkey (DAO), Anesthesiology Institute, Cleveland Clinic Abu Dhabi, United Arab Emirates (FAL), Department of Clinical Neurophysiology, University of Twente and Medisch Spectrum Twente, Enschede (MvP), Neurological Institute, Cleveland Clinic Akron General Hospital, Fairlawn, Ohio, USA (GWJH), Division of Anesthesiology, Intensive Care and Pain Medicine, Sestre milosrdnice University Hospital Center, Zagreb, Croatia (AK), Department of Anesthesia (DBS), The Applied Neurophysiology Lab, Rambam Healthcare Campus, Haifa, Israel (GS), Department of Anaesthesia and Intensive Care, Nykoebing Hospital, University of Southern Denmark, Denmark (FR) and Department of Anesthesiology, Cliniques universitaires Saint-Luc, Université catholique de Louvain, Brussels, Belgium (CK).
保护大脑健康对于患者和医疗保健提供者来说至关重要. 这包括优化对受伤大脑的护理,保护年轻和老的大脑,在手术过程中进行监测,并防止麻醉和重症监护室 (ICU) 专业人员的倦怠.
科学领域:
- 神经科学是一个神经科学.
- 麻醉学 麻醉学
- 密集护理医学 密集护理医学
背景情况:
- 脑损伤会导致严重的,持久的后果.
- 欧洲麻醉学和重症监护学会 (ESAIC) 强调患者和从业人员的大脑健康.
- 关于大脑健康的重点会议强调了关键的担忧和战略.
研究的目的:
- 为提供ESAIC关于大脑健康的重点会议上提供的信息摘要.
- 总结各种患者群体和环境中改善大脑健康的策略.
- 针对麻醉和重症监护室 (ICU) 护理人员的大脑健康维护.
主要方法:
- 内容是基于文献评论的意见论文,总结了焦点会议的会议.
- 涵盖的关键领域包括受伤大脑的管理,儿科和老年大脑健康,麻醉期间成人大脑的保护和护理人员的福祉.
- 来自专家讨论和文献的信息综合.
主要成果:
- 脑损伤的治疗需要适当的镇静,监测和病理特异性护理.
- 对于接受麻醉的年轻大脑,存在保护措施.
- 可以确定患有术后神经认知障碍风险的老年患者,多学科管理可以改善结果.
- 成年人的大脑可能会受到麻醉的影响;脑电图 (EEG) 可以追踪外科手术期间的功能障碍,特别关注女性患者.
- 多模式大脑监测有助于检测病理和维持平衡.
- 麻醉师的倦怠可以通过综合策略来解决.
结论:
- 优化大脑健康需要针对不同患者群体和临床场景量身定制的方法.
- 在手术室和ICU中,有效的脑部监测和管理至关重要.
- 保护患者和医疗保健专业人员的认知健康在麻醉学和重症监护中至关重要.
更多相关视频
14:52Recording Brain Electromagnetic Activity During the Administration of the Gaseous Anesthetic Agents Xenon and Nitrous Oxide in Healthy Volunteers
Published on: January 13, 2018
08:23Adaptation of Microelectrode Array Technology for the Study of Anesthesia-induced Neurotoxicity in the Intact Piglet Brain
Published on: May 12, 2018
相关概念视频
Inhalational Anesthetics: Overview
General Anesthesia: Overview
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
Stages of General Anesthesia
Cognitive Enhancers: Cholinesterase Inhibitors and NMDA Receptor Antagonists
Psychoneuroimmunology: Cardiovascular Disease
A key area of focus in PNI is the relationship between stress and coronary...
Local Anesthetics: Adverse Effects
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
