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近红外光谱技术在心肺复苏中的应用进展

彭祥 李湘民

彭祥, 李湘民. 近红外光谱技术在心肺复苏中的应用进展[J]. 协和医学杂志, 2023, 14(3): 459-464. doi: 10.12290/xhyxzz.2022-0637
引用本文: 彭祥, 李湘民. 近红外光谱技术在心肺复苏中的应用进展[J]. 协和医学杂志, 2023, 14(3): 459-464. doi: 10.12290/xhyxzz.2022-0637
PENG Xiang, LI Xiangmin. Application of Near Infrared Spectroscopy in Cardiopulmonary Resuscitation[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(3): 459-464. doi: 10.12290/xhyxzz.2022-0637
Citation: PENG Xiang, LI Xiangmin. Application of Near Infrared Spectroscopy in Cardiopulmonary Resuscitation[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(3): 459-464. doi: 10.12290/xhyxzz.2022-0637

近红外光谱技术在心肺复苏中的应用进展

doi: 10.12290/xhyxzz.2022-0637
基金项目: 

湖南省自然科学基金 2022JJ30938

详细信息
    通讯作者:

    李湘民, E-mail:lxm8229@126.com

  • 中图分类号: R459.7;R605.974

Application of Near Infrared Spectroscopy in Cardiopulmonary Resuscitation

Funds: 

Natural Science Foundation of Hunan Province 2022JJ30938

More Information
  • 摘要: 随着社会的快节奏发展, 心脏骤停已成为世界范围内的重大公共卫生问题。对于心脏骤停患者, 心肺复苏的首要目标是保证大脑氧供, 避免脑缺氧损伤。近年来, 由于近红外光谱技术(near infrared spectroscopy, NIRS)可监测额叶皮质脑组织局部脑氧饱和度, 实时反映脑氧供需平衡, 其在心肺复苏领域中的应用受到广泛关注。NIRS技术可用于评估心肺复苏质量、早期发现再次心脏骤停、判断患者的预后、评估脑血流自主调节水平、监测目标温度管理以及体外心肺复苏治疗患者的救治效果, 具有较好的临床应用前景。本文主要就NIRS的原理及其在心肺复苏领域中的应用进展进行概述, 以期指导临床实践。
    作者贡献:彭祥负责文献检索与论文撰写;李湘民负责研究设计与论文修订。
    利益冲突:所有作者均声明不存在利益冲突
  • [1] Yagi T, Kawamorita T, Kuronuma K, et al. Usefulness of a New Device to Monitor Cerebral Blood Oxygenation Using NIRS During Cardiopulmonary Resuscitation in Patients with Cardiac Arrest: A Pilot Study[J]. Adv Exp Med Biol, 2020, 1232: 323-329. http://pubmed.ncbi.nlm.nih.gov/31893427/
    [2] Dragancea I, Rundgren M, Englund E, et al. The influence of induced hypothermia and delayed prognostication on the mode of death after cardiac arrest[J]. Resuscitation, 2013, 84: 337-342. doi:  10.1016/j.resuscitation.2012.09.015
    [3] Macdonald SPJ, Kinnear FB, Arendts G, et al. Near-infrared spectroscopy to predict organ failure and outcome in sepsis: the Assessing Risk in Sepsis using a Tissue Oxygen Saturation (ARISTOS) study[J]. Eur J Emerg Med, 2019, 26: 174-179. doi:  10.1097/MEJ.0000000000000535
    [4] 李黎欣, 马丽萍. 近红外光谱技术临床应用研究进展[J]. 护理研究, 2016, 30: 1298-1301. doi:  10.3969/j.issn.1009-6493.2016.11.006
    [5] Naguib AN, Winch PD, Sebastian R, et al. The Correlation of Two Cerebral Saturation Monitors With Jugular Bulb Oxygen Saturation in Children Undergoing Cardiopulmonary Bypass for Congenital Heart Surgery[J]. J Intensive Care Med, 2017, 32: 603-608. doi:  10.1177/0885066616663649
    [6] Kleinman ME, Brennan EE, Goldberger ZD, et al. Part 5: Adult Basic Life Support and Cardiopulmonary Resuscitation Quality: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovas-cular Care[J]. Circulation, 2015, 132: S414-S435. http://europepmc.org/abstract/MED/26472993
    [7] Lin S, Scales DC. Cardiopulmonary resuscitation quality and beyond: the need to improve real-time feedback and physiologic monitoring[J]. Crit Care, 2016, 20: 182. doi:  10.1186/s13054-016-1371-9
    [8] Meex I, De Deyne C, Dens J, et al. Feasibility of absolute cerebral tissue oxygen saturation during cardiopulmonary resuscitation[J]. Crit Care, 2013, 17: R36. doi:  10.1186/cc12546
    [9] Yazar MA, Acikgoz MB, Bayram A. Does chest compression during cardiopulmonary resuscitation provide sufficient cerebral oxygenation?[J]. Turk J Med Sci, 2019, 49: 311-317. doi:  10.3906/sag-1809-165
    [10] Ogawa Y, Shiozaki T, Hirose T, et al. Load-distributing-band cardiopulmonary resuscitation for out-of-hospital cardiac arrest increases regional cerebral oxygenation: a single-center prospective pilot study[J]. Scand J Trauma Resusc Emerg Med, 2015, 23: 99. doi:  10.1186/s13049-015-0182-3
    [11] Parnia S, Nasir A, Ahn A, et al. A feasibility study of cerebral oximetry during in-hospital mechanical and manual cardiopulmonary resuscitation[J]. Crit Care Med, 2014, 42: 930-933. doi:  10.1097/CCM.0000000000000047
    [12] Matsuyama T, Yasutake Y, Inaba D, et al. Novel Mode of Near-Infrared Spectroscopy as a Continuous Cerebral Physiological Monitoring Device during Cardiopulmonary Resuscitation: Four Case Reports[J]. J Clin Med, 2022, 11: 2018. doi:  10.3390/jcm11072018
    [13] Nordseth T, Niles DE, Eftestol T, et al. Rhythm characteristics and patterns of change during cardiopulmonary resuscitation for in-hospital paediatric cardiac arrest[J]. Resuscitation, 2019, 135: 45-50. doi:  10.1016/j.resuscitation.2019.01.006
    [14] Nishiyama K, Koike K. Detection of pulseless electric activity using regional cerebral saturation monitoring[J]. Resuscitation, 2015, 93: e19-e20. doi:  10.1016/j.resuscitation.2015.05.016
    [15] Balakrishnan B, Dasgupta M, Gajewski K, et al. Low near infrared spectroscopic somatic oxygen saturation at admission is associated with need for lifesaving interventions among unplanned admissions to the pediatric intensive care unit[J]. J Clin Monit Comput, 2018, 32: 89-96. doi:  10.1007/s10877-017-0007-1
    [16] Nissen P, Brassard P, Jorgensen TB, et al. Phenylephrine but not ephedrine reduces frontal lobe oxygenation following anesthesia-induced hypotension[J]. Neurocrit Care, 2010, 12: 17-23. doi:  10.1007/s12028-009-9313-x
    [17] Genbrugge C, De Deyne C, Eertmans W, et al. Cerebral saturation in cardiac arrest patients measured with near-infrared technology during pre-hospital advanced life support. Results from Copernicus I cohort study[J]. Resuscitation, 2018, 129: 107-113. doi:  10.1016/j.resuscitation.2018.03.031
    [18] Tsukuda J, Fujitani S, Morisawa K, et al. Near-infrared spectroscopy monitoring during out-of-hospital cardiac arrest: can the initial cerebral tissue oxygenation index predict ROSC?[J]. Emerg Med J, 2019, 36: 33-38. http://pubmed.ncbi.nlm.nih.gov/30446504/
    [19] Sutton RM, Friess SH, Maltese MR, et al. Hemodynamic-directed cardiopulmonary resuscitation during in-hospital cardiac arrest[J]. Resuscitation, 2014, 85: 983-986. doi:  10.1016/j.resuscitation.2014.04.015
    [20] Sanfilippo F, Murabito P, Messina A, et al. Cerebral regional oxygen saturation during cardiopulmonary resuscita-tion and return of spontaneous circulation: A systematic review and meta-analysis[J]. Resuscitation, 2021, 159: 19-27. doi:  10.1016/j.resuscitation.2020.12.002
    [21] Takegawa R, Shiozaki T, Ogawa Y, et al. Usefulness of cerebral rSO (2) monitoring during CPR to predict the probability of return of spontaneous circulation[J]. Resuscitation, 2019, 139: 201-207. doi:  10.1016/j.resuscitation.2019.04.015
    [22] Schnaubelt S, Sulzgruber P, Menger J, et al. Regional cerebral oxygen saturation during cardiopulmonary resuscitation as a predictor of return of spontaneous circulation and favourable neurological outcome-A review of the current literature[J]. Resuscitation, 2018, 125: 39-47. doi:  10.1016/j.resuscitation.2018.01.028
    [23] Engel TW 2nd, Thomas C, Medado P, et al. End tidal CO2 and cerebral oximetry for the prediction of return of spontaneous circulation during cardiopulmonary resuscitation[J]. Resuscitation, 2019, 139: 174-181. doi:  10.1016/j.resuscitation.2019.04.006
    [24] Prosen G, Strnad M, Doniger SJ, et al. Cerebral tissue oximetry levels during prehospital management of cardiac arrest - A prospective observational study[J]. Resuscitation, 2018, 129: 141-145. doi:  10.1016/j.resuscitation.2018.05.014
    [25] 孙海伟, 朱建军, 马丽梅, 等. 心肺复苏后患者局部脑氧饱和度与神经元特异性烯醇化酶水平的变化[J]. 中华危重病急救医学, 2021, 33: 1094-1098. doi:  10.3760/cma.j.cn121430-20210115-00067
    [26] Callaway CW, Donnino MW, Fink EL, et al. Part 8: Post-Cardiac Arrest Care: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care[J]. Circulation, 2015, 132: S465-S482. http://d.wanfangdata.com.cn/periodical/ed2aef1fa78fc04394b7c616a9a50ccd
    [27] Nolan JP, Soar J, Cariou A, et al. European Resuscitation Council and European Society of Intensive Care Medicine 2015 guidelines for post-resuscitation care[J]. Intensive Care Med, 2015, 41: 2039-2056. doi:  10.1007/s00134-015-4051-3
    [28] Nakatani Y, Nakayama T, Nishiyama K, et al. Effect of target temperature management at 32-34 degrees C in cardiac arrest patients considering assessment by regional cerebral oxygen saturation: A multicenter retrospective cohort study[J]. Resuscitation, 2018, 126: 185-190. http://pubmed.ncbi.nlm.nih.gov/29876492/
    [29] Saritas A, Cinleti BA, Zincircioglu C, et al. Effect of regional cerebral oximetry to estimate neurologic prognostic outcomes in patients administered targeted temperature management[J]. Am J Emerg Med, 2018, 36: 2236-2241. doi:  10.1016/j.ajem.2018.04.016
    [30] Kwon WY, Jung YS, Suh GJ, et al. Regional cerebral oxygen saturation in cardiac arrest survivors undergoing targeted temperature management 36 degrees C versus 33 degrees C: A randomized clinical trial[J]. Resuscitation, 2021, 167: 362-371. doi:  10.1016/j.resuscitation.2021.07.026
    [31] Jakkula P, Reinikainen M, Hastbacka J, et al. Targeting two different levels of both arterial carbon dioxide and arterial oxygen after cardiac arrest and resuscitation: a randomised pilot trial[J]. Intensive Care Med, 2018, 44: 2112-2121. doi:  10.1007/s00134-018-5453-9
    [32] Falkenbach P, Kamarainen A, Makela A, et al. Incidence of iatrogenic dyscarbia during mild therapeutic hypothermia after successful resuscitation from out-of-hospital cardiac arrest[J]. Resuscitation, 2009, 80: 990-993. doi:  10.1016/j.resuscitation.2009.04.044
    [33] Sakurai A, Ihara S, Tagami R, et al. Parameters Influencing Brain Oxygen Measurement by Regional Oxygen Saturation in Postcardiac Arrest Patients with Targeted Temperature Management[J]. Ther Hypothermia Temp Manag, 2020, 10: 71-75. doi:  10.1089/ther.2019.0032
    [34] Ryu JA, Cho YH, Sung K, et al. Predictors of neurological outcomes after successful extracorporeal cardiopulmonary resuscitation[J]. BMC Anesthesiol, 2015, 15: 26. doi:  10.1186/s12871-015-0002-3
    [35] Ahn C, Kim W, Cho Y, et al. Efficacy of extracorporeal cardiopulmonary resuscitation compared to conventional cardiopulmonary resuscitation for adult cardiac arrest patients: a systematic review and meta-analysis[J]. Sci Rep, 2016, 6: 34208. doi:  10.1038/srep34208
    [36] Wiest C, Philipp A, Foltan M, et al. Does cerebral near-infrared spectroscopy (NIRS) help to predict futile cannulation in extracorporeal cardiopulmonary resuscitation (ECPR)?[J]. Resuscitation, 2021, 168: 186-190. doi:  10.1016/j.resuscitation.2021.08.008
    [37] Lamhaut L, Hutin A, Deutsch J, et al. Extracorporeal Cardiopulmonary Resuscitation (ECPR) in the Prehospital Setting: An Illustrative Case of ECPR Performed in the Louvre Museum[J]. Prehosp Emerg Care, 2017, 21: 386-389. doi:  10.1080/10903127.2016.1263372
    [38] Koyama Y, Mizutani T, Marushima A, et al. Cerebral Tissue Oxygenation Index Using Near-infrared Spectroscopy during Extracorporeal Cardio-pulmonary Resuscitation Predicted Good Neurological Recovery in a Patient with Acute Severe Anemia[J]. Intern Med, 2017, 56: 2451-2453. doi:  10.2169/internalmedicine.7826-16
    [39] Taccone FS, Fagnoul D, Rondelet B, et al. Cerebral oximetry during extracorporeal cardiopulmonary resuscitation[J]. Crit Care, 2013, 17: 409. doi:  10.1186/cc11929
    [40] Chang HH, Chen YC, Huang CJ, et al. Optimization of extracorporeal membrane oxygenation therapy using near-infrared spectroscopy to assess changes in peripheral circulation: A pilot study[J]. J Biophotonics, 2020, 13: e202000116. doi:  10.1002/jbio.202000116
    [41] Ameloot K, Genbrugge C, Meex I, et al. An observational near-infrared spectroscopy study on cerebral autoregulation in post-cardiac arrest patients: time to drop 'one-size-fits-all' hemodynamic targets?[J]. Resuscitation, 2015, 90: 121-126. doi:  10.1016/j.resuscitation.2015.03.001
    [42] Taccone FS, Crippa IA, Creteur J, et al. Estimated cerebral perfusion pressure among post-cardiac arrest survivors[J]. Intensive Care Med, 2018, 44: 966-967. doi:  10.1007/s00134-018-5074-3
    [43] Doepp Connolly F, Reitemeier J, Storm C, et al. Duplex sonography of cerebral blood flow after cardiac arrest-a prospective observational study[J]. Resuscitation, 2014, 85: 516-521. doi:  10.1016/j.resuscitation.2013.12.021
    [44] Davie SN, Grocott HP. Impact of extracranial contamination on regional cerebral oxygen saturation: a comparison of three cerebral oximetry technologies[J]. Anesthesiology, 2012, 116: 834-840. doi:  10.1097/ALN.0b013e31824c00d7
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出版历程
  • 收稿日期:  2022-11-07
  • 录用日期:  2023-03-02
  • 网络出版日期:  2023-03-09
  • 刊出日期:  2023-05-30

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