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一个脑死亡的器官捐赠者中电脑脑图的意外活动:一个案例报告

Marta Afonso¹, Mariana Thedim^2,1, Liliana Dias¹

¹Department of Anesthesiology, Unidade Local de Saúde de Gaia/Espinho, Vila Nova de Gaia, PRT.

|December 12, 2025

概括

在脑死亡 (BD) 病例中,双光谱指数 (BIS) 监测可能会显示出误导性值,因为它反映了人工物,而不是真实的皮质活动. 仔细解释对于准确的神经学评估和及时诊断至关重要.

科学领域:

神经科学是一个神经科学.
麻醉学麻醉学
关键护理医学关键护理医学

背景情况:

脑死亡 (BD) 诊断依赖于临床标准,通常由脑电图 (EEG) 支持.
双光谱指数 (BIS) 是一个经过处理的EEG参数,用于早期检测神经系统恶化.

研究的目的:

在器官采集期间调查确诊脑死亡 (BD) 患者的手术内双光谱指数 (BIS) 监测模式.
评估BIS作为BD诊断和神经监测辅助的可靠性.

主要方法:

一个56岁的女性患者的病例报告,确认了BD接受了器官采购手术.
使用标准的ASA监测和BISTM进行持续的手术内监测.
脑电图和脑电图血管学证实了电脑无活动和无内血流.

主要成果:

尽管确认了BD,但BIS值仍然在50左右,仅在循环停止后降至零.
持久的BIS值归因于额外骨器件 (例如,心电图,动脉脉动),而不是皮质活动.
在整个器官采购程序中保持了血液动力学稳定性.

结论:

在BD患者的手术内BIS监测可能会受到人工物的影响,可能导致误解.
虽然BIS可能有助于检测神经系统的恶化,但其在BD诊断中的使用需要谨慎的解释,考虑到文物和生理因素.
需要进一步的研究来了解脑死亡状态中的BIS行为和局限性.

关键词:

双光谱指数监测双光谱指数监测大脑死亡,重症监护.电脑电图 (EEG) 是一种电脑电图.神经学和重症监护专业.生理监测生理监测

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