长时间的脑氧化监测与基于算法的管理:极度早产婴儿的神经临床护理包
Kai-Hsiang Hsu1,2,3, Wei-Hung Wu1,2, Shu-Yu Lin1,2
1Division of Neonatology, Department of Pediatrics, Chang Gung Memorial Hospital Linkou Branch, Taoyuan, Taiwan.
一个神经临床护理包确定了早产婴儿有脑性缺氧风险. 较低区域大脑氧和度 (rcSO2) 独立预测这些脆弱的婴儿的神经结果和死亡率不佳.
科学领域:
- 新生儿神经学 新生儿神经学
- 神经临界护理是指神经临界护理.
- 医疗监控技术 医疗监控技术
背景情况:
- 大脑缺氧-缺血症显著影响极度早产婴儿的大脑发育和神经结果.
- 近红外光谱 (NIRS) 提供非侵入性,持续监测区域大脑氧和 (rcSO2).
研究的目的:
- 评估神经临床护理包的临床可行性.
- 为了评估一个包含血液动力学监测和管理算法的捆绑的神经影响.
主要方法:
- 预期将早产婴儿 (GA ≤28周或BW ≤1,000g) 纳入捆绑组.
- 使用NIRS检测rcSO2,用于心脏输出的电心力测量,以及每日脑/心脏声谱.
- 实施了一种逐步算法来治疗大脑缺氧,结果被评估到相当于年龄的年龄.
主要成果:
- 平均时间平均rcSO2为66.8%±10.3%,与妊娠年龄或出生体重没有直接相关.
- 产后年龄影响了rcSO2,在最初的72小时内值更高.
- 七名婴儿 (23.3%) 经历了不良结果,与时间平均rcSO2 (51.1%与71.8%相比,P=0.002) 显著降低相关.
结论:
- 神经临床护理包有效地识别了患脑性缺氧风险的早产婴儿.
- 较低的rcSO2水平是早产婴儿复合死亡率和不良神经结果的独立风险因素.
更多相关视频
14:28Non-Invasive Monitoring of Microvascular Oxygenation and Reactive Hyperemia using Hybrid, Near-Infrared Diffuse Optical Spectroscopy for Critical Care
Published on: May 10, 2024
06:18A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury
Published on: March 26, 2019
相关概念视频
Cardiopulmonary Resuscitation II: ACLS Airway Management
Respiratory Assessment: Purpose and Indications
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Acute Coronary Syndrome V: Nursing Management
Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
Administering Oxygen by Mask
Administering oxygen by mask is a common nursing intervention that provides supplemental oxygen to patients with respiratory distress or chronic lung conditions. This procedure involves delivering oxygen at a specified rate through a face mask connected to an oxygen source.
Equipment
The equipment necessary for this procedure includes:
Aneurysm IV: Nursing Management
