在手术期间监测三子 - 子反应
Joao Leote1, Ana Mirallave Pescador2, Alba Díaz-Baamonde2
1Critical Care Department, Hospital Garcia de Orta, EPE, Almada, Portugal.
概括
这项研究详细介绍了一种在后腔手术期间记录三角管-宫反应的方法. 这些神经反应可以在全身麻醉期间监测,有助于外科安全.
科学领域:
- 神经外科 神经外科
- 神经生理学 神经生理学
- 麻醉学 麻醉学
背景情况:
- 后腔手术对头骨神经有风险.
- 在复杂的神经外科手术过程中,术内监测对于患者的安全至关重要.
- 在手术过程中对三角神经功能进行客观评估是具有挑战性的.
研究的目的:
- 描述一项用于在手术期间记录三子宫回应的新方法.
- 评估在后腔外科手术期间使用三角管 - 管反应监测的可行性.
- 在全身麻醉下评估这些反应的特征.
主要方法:
- 三角神经 (V3) 刺激在腰椎门以下进行.
- 使用针电极从软口腔记录反应,使用表面电极从内管记录反应.
- 测量了关键反应参数,包括发病延迟,持续时间和幅度.
主要成果:
- 在38名患者中,23名患者记录了成功的三角形-宫反应,其中12名患者表现出双边反应.
- 平均响应延迟时间为42ms,持续时间为45ms,幅度为67μs.
- 在6名患者中,也观察到对三角管刺激的声带反应.
结论:
- 在后手术期间,可以在全身麻醉下可靠地获得三角形-宫反应.
- 这种技术显示了三角神经功能在手术期间监测的潜力.
- 需要进一步的研究来确定这些反应作为标准监测工具.
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