References

rmt

Общая реаниматология

General Reanimatology

1813-97792411-7110

FSBI "SRIGR" RAMS

10.15360/1813-9779-2012-2-67

rmt-235

Research Article

ОБЗОРЫ И КРАТКИЕ СООБЩЕНИЯ

REVIEWS & SHORT COMMUNICATIONS

Церебральная оксиметрия в кардиохирургии

Cerebral Oximetry in Cardiac Surgery

Шепелюк

А. Н.

Shepelyuk

A. N.

dr.shepp@mail.ru

Клыпа

Т. В.

Klypa

T. V

Никифоров

Ю. В.

Nikiforov

Yu. V.

2012

20042012

Том VIII № 2 2012 г.

6767

2012

Шепелюк А.Н., Клыпа Т.В., Никифоров Ю.В.

Shepelyuk A.N., Klypa T.V., Nikiforov Y.V.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.reanimatology.com/rmt/article/view/235

В обзоре по данным многочисленных современных источников описаны различные методы нейромониторинга при операциях на сердце с искусственным кровообращением. Показана важность и необходимость нейромониторинга для ранней диагностики и предотвращения неврологических осложнений после кардиохирургических операций. Особое внимание уделяется методу церебральной оксиметрии, описываются возможности и преимущества данного метода. Показано, что коррекция значений церебральной оксиметрии улучшает показатели выживаемости, снижает количество осложнений послеоперационного периода. Отсутствие мониторинга церебральной оксиметрии лишает клинициста важной информации, возможностей оптимизировать состояние пациента, предотвратить потенциально опасные осложнения, что позволяет сделать вывод о необходимости применения методики церебральной оксиметрии в рамках нейромониторинга в кардиохирургии. Ключевые слова: искусственное кровообращение, церебральная ок-симетрия, неврологическая дисфункция, церебральная оксигенация.

Based on the data of numerous current references, the review describes different neuromonitoring methods during cardiac surgery under extracorporeal circulation. It shows that it is important and necessary to make neuromonitoring for the early diagnosis and prevention of neurological complications after cardiac surgery. Particular attention is given to cerebral oximetry; the possibilities and advantages of this technique are described. Correction of cerebral oximetric values is shown to improve survival rates and to reduce the incidence of postoperative complications. Lack of cerebral oximetry monitoring denudes a clinician of important information and possibilities to optimize patient status and to prevent potentially menacing complications, which allows one to conclude that it is necessary to use cerebral oximetry procedures within neu-romonitoring in cardiac surgery. Key words: extracorporeal circulation, cerebral oximetry, neurological dysfunction, cerebral oxygenation.

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The authors declare that there are no conflicts of interest present.