在儿童中进行非侵入性神经监测
Victoria Lieftuechter1, Nora Bruns2, Timo Deba3
1Pediatric Intensice Care Unit, LMU Klinikum Kinderklinik und Kinderpoliklinik im Dr von Haunerschen Kinderspital, Munich, BY, Germany.
Neuropediatrics
|August 20, 2025
概括
脑电图和瞳孔测量等神经监测方法有助于评估重症监护中的中枢神经系统. 本综述涵盖了儿童,脑内压升高和中风的非侵入性治疗方法.
科学领域:
- 神经科学
- 危急护理医学
- 儿童神经病学
背景情况:
- 神经监测在重症监护室 (ICU) 中至关重要,以克服临床神经检查的局限性.
- 儿童患者的镇静和神经肌肉阻塞需要对中枢神经系统进行高级监测.
- 儿童重症监护室越来越多地采用各种年龄段的非侵入性神经监测技术.
研究的目的:
- 提供经常使用的非侵入性神经监测模式的概述.
- 审查支持在特定临床场景中使用这些技术的证据.
主要方法:
- 专注于四种主要的非侵入性神经监测技术:电脑图 (EEG),近红外光谱 (NIRS),横多普勒 (TCD) 和自动瞳孔测量.
- 在儿童重症监护中应用证据的文献审查.
主要成果:
- 脑电图对于检测和评估大脑活动非常有价值.
- NIRS和TCD提供了大脑输液和血液动力学的洞察力.
- 自动化瞳孔测量提供神经功能的客观测量,并预测结果.
结论:
- 非侵入性神经监测模式是儿童重症监护的重要工具.
- 这些技术有助于早期发现和治疗严重的神经疾病,如发作,脑内压力升高和中风.
- 进一步的研究可以完善儿童群体的神经监测数据的应用和解释.
相关概念视频
Neural Regulation
Digestion begins with a cephalic phase that prepares the digestive system to receive food. When our brain processes visual or olfactory information about food, it triggers impulses in the cranial nerves innervating the salivary glands and stomach to prepare for food.
Naturalistic Observations
If you want to understand how behavior occurs, one of the best ways to gain information is to simply observe the behavior in its natural context. However, people might change their behavior in unexpected ways if they know they are being observed. How do researchers obtain accurate information when people tend to hide their natural behavior? As an example, imagine that your professor asks everyone in your class to raise their hand if they always wash their hands after using the restroom. Chances...
Bullying
A modern form of aggression is bullying. As you learn in your study of child development, socializing and playing with other children is beneficial for children’s psychological development. However, as you may have experienced as a child, not all play behavior has positive outcomes. Some children are aggressive and want to play roughly. Other children are selfish and do not want to share toys. One form of negative social interactions among children that has become a national concern is bullying.
Holter Monitor: 24-Hour Monitoring
Holter monitoring is a continuous electrocardiography (ECG) recording that tracks the heart's electrical activity over an extended period, generally 24 to 48 hours. This noninvasive diagnostic tool detects irregular heart rhythms that may not be captured during a standard ECG performed in a clinical setting.DeviceThe Holter monitor is a portable, small device connected to several electrodes on the patient's chest. These electrodes detect the heart's electrical signals and transmit them to the...
Piaget's Stage 1 of Cognitive Development
The sensorimotor stage, the initial phase of Jean Piaget's theory of cognitive development, spans the first two years of a child's life. During this period, infants actively engage with their surroundings, building cognitive awareness through direct interaction with the world. This interaction is primarily based on sensory perception and motor actions, allowing infants to gradually understand basic physical properties and predict how objects interact within their environment.
Exploration...
Exploration...
Oppositional Defiant Disorder
A persistent pattern of angry or irritable mood, defiant behavior, or vindictiveness characterizes Oppositional Defiant Disorder (ODD). Symptoms must occur over at least six months, involve interactions with individuals beyond siblings, and meet specific diagnostic criteria to be clinically significant. The disorder affects emotional regulation, social interactions, and behavior, often manifesting early in life and influencing long-term development and functioning.
Diagnostic Criteria and...
Diagnostic Criteria and...


