Name: a detailed protocol for physiological parameters acquisition and analysis in neurosurgical critical patients
Uploaded: 2017-10-17T13:00:00
Description: Watch this Scientific Journal Video about A Detailed Protocol for Physiological Parameters Acquisition and Analysis in Neurosurgical Critical Patients at JoVE.com

Vi ønsker å anerkjenne alle kolleger i NICU for deres arbeid.

denne protokollen ble godkjent av institusjonelle gjennomgang styret av Renji sykehuset, Shanghai Jiaotong University School of Medicine.
 1. forberedelse pasientens Merk: ICP sensoren er plassert i pasienten ved en kirurgisk operasjon ( figur 1). Sensoren plasseres i epidural plass, subdural plass, parenchyma eller ventrikkel systemet.
<ol><li>Koble ICP avlytting maskinen med en bestemt kommunikasjon kabel sengen monitoren.</li>
	<...

<ol>
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Dette målet av denne artikkelen er å innføre nye Multimodalitet overvåking og analysere system for neurosurgical kritisk pasienter, som kan brukes til å overvåke fysiologiske parametre, analysere gjeldende kliniske status og, forhåpentligvis, forutsi prognosen neurosurgical kritiske pasientene. I dag, fokuserer ICP overvåking hovedsakelig på gjennomsnittet ICP verdi mens ignorerer andre parametere, som kan bære risikoen for feil eller forsinkelser4,5<su...

ICP overvåking er mye brukt til å evaluere intrakranielt status i nevrokirurgi avdeling, spesielt i neurosurgical kritisk pasienter1,2,3. Foruten ICP middelverdien avledet ICP parametere som ICP bølgeform, AMP, RAP, PRx, IAAC og så videre, kan gjenspeile status for intracerebral sirkulasjon, cerebrospinal kompenserende reserve, og hjernen samsvar4,5, 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13. de kan være tegn på forestående nevrologiske forringelse og selv utfallet av pasienter,14,,15,,16,,17,,18. De kan også brukes som veiledning riktig behandling19. Men fokusere de fleste av klinikere bare på ICP middelverdien mens overser disse parameterne. Dette er delvis fordi det er noen bestemte enheter som er egnet for klinikere i sitt daglige klinisk arbeid.
For å løse disse ulempene, har vi nylig utviklet en Multimodalitet overvåkingssystem. Vi bruker en automatisk innsamling og lagring av enheten å stadig tilegne seg pasientens fysiologiske informasjon blodtrykk, ICP og oksygenmetning, og analysere disse fysiologiske parametere for å vise gjeldende kliniske status og forhåpentligvis forutsi prognosen av neurosurgical kritisk pasienter. Denne Multimodalitet overvåkingssystem har flere fordeler: (1) det kan samle sanntidsdata høyfrekvent, (2) det kan ta opp flere parametere, dvs, ICP bølgeform, PRx, RAP og IAAC, (3) det kan oppnå lang sikt kontinuerlig overvåking, og (4) Det er bærbart og lett å lære.
Formålet med denne artikkelen, er derfor å vise en detaljert metode for hvordan du bruker Multimodalitet overvåkingssystem for å registrere ulike fysiologiske parametere i neurosurgical kritisk pasienter.

<table style="border-collapse:collapse;width:639pt" width="852">
	<colgroup>
		<col style="width:136pt" width="181" />
		<col style="width:171pt" width="228" />
		<col style="width:134pt" width="179" />
		<col style="width:198pt" width="264" />
	</colgroup>
	<tbody>
		<tr height="21" style="height:15.75pt">
			<td height="21" style="width:136pt;height:15.75pt" width="181">Bedside monitor</td>
			<td style="width:171pt" width="228">Philips</td>
			<td style="width:134pt" width="179">IntelliVue MP40 M8003A</td>
			<td style="width:198pt" width="264">With interfacing module</td>
		</tr>
		<tr height="21" style="height:15.75pt">
			<td height="21" style="height:15.75pt">ICP monitoring machine</td>
			<td>&#160;Johnson &#38; Johnson or Sophysa</td>
			<td></td>
			<td></td>
		</tr>
		<tr height="21" style="height:15.75pt">
			<td height="21" style="height:15.75pt">Arterial cannula</td>
			<td>BD</td>
			<td>REF682245</td>
			<td></td>
		</tr>
		<tr height="21" style="height:15.75pt">
			<td height="21" style="height:15.75pt">Pressure transducer</td>
			<td>Haisheng Medical</td>
			<td>DBPT-0103</td>
			<td></td>
		</tr>
		<tr height="21" style="height:15.75pt">
			<td height="21" style="height:15.75pt">Data collection device</td>
			<td>Shanghai Haoju</td>
			<td>Neumatic</td>
			<td></td>
		</tr>
		<tr height="21" style="height:15.75pt">
			<td height="21" style="height:15.75pt">Computer</td>
			<td></td>
			<td></td>
			<td>Requires Windows operating system</td>
		</tr>
	</tbody>
</table>

a detailed protocol for physiological parameters acquisition and analysis in neurosurgical critical patients

Intrakranielt trykk (ICP) overvåking er nå mye brukt i neurosurgical kritisk pasienter. Foruten mener ICP verdi avledet ICP parametere som ICP bølgeform, amplituden til puls (AMP), korrelasjon av ICP amplitude og ICP betyr (RAP), trykk reaktivitet indeks (PRx), ICP og arterielt blodtrykk (ABP) bølge amplituden sammenheng (IAAC), og så kan gjenspeile intrakranielt status forutsi prognosen og kan også brukes som veiledning skikkelig. Men fokusere de fleste av klinikere bare på ICP middelverdien mens overser disse parameterne på grunn av begrensningene for de aktuelle enhetene. Vi har nylig utviklet en Multimodalitet overvåkingssystem for å løse disse ulempene. Denne bærbare, brukervennlig system bruker en data innsamling og lagring av enheten å stadig tilegne seg pasientens fysiologiske parametre først, dvs, ABP, ICP og oksygenmetning, og deretter analysere disse fysiologiske parametere. Vi håper at Multimodalitet overvåkingssystem vil bli akseptert som viktigste mål å overvåke fysiologiske parametere, analysere gjeldende kliniske status og forutsi prognosen av neurosurgical kritisk pasienter.

Denne nye Multimodalitet overvåkingssystem ble brukt på 22 neurosurgical kritisk pasienter (15 menn). 12 av dem (54.55%) hadde lidd traumatisk hjerneskade (TBI), 9 av dem (40.91%) hadde Hemorrhagisk hjerneslag og 1 av dem (4.55%) hadde alvorlig cerebral hjerteinfarkt. Overvåking tid koster mer enn 1900 h (ca 88 h per pasient). Etter vellykket kirurgi, vi kontinuerlig overvåket og analysert sine ICP, BP, CPP, PRx, RAP og IAAC. Figur 3 viser representant da...

Watch this Scientific Journal Video about A Detailed Protocol for Physiological Parameters Acquisition and Analysis in Neurosurgical Critical Patients at JoVE.com

A Detailed Protocol for Physiological Parameters Acquisition and Analysis in Neurosurgical Critical Patients

Vi har nylig utviklet en bærbar Multimodalitet avlytting system for overvåking av ulike fysiologiske parametere i neurosurgical kritisk pasienter. Detaljert protokoller på hvordan du bruker denne Multimodalitet overvåkingssystem presenteres her.

En detaljert protokoll for fysiologiske parametre oppkjøp og analyse i Neurosurgical kritisk pasienter

Intracranial pressure (ICP) monitoring is now widely used in neurosurgical critical patients. Besides mean ICP value, the ICP derived parameters such as ...

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