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Die Anaesthesiologie

Erschienen in:

15.09.2020 | Herzchirurgie | Leitthema

Nahinfrarotspektroskopie

Technik, Entwicklung, aktueller Einsatz und Ausblick

verfasst von: Dr. D. Bolkenius, C. Dumps, B. Rupprecht

Erschienen in: Die Anaesthesiologie | Ausgabe 3/2021

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Zusammenfassung

Seit über 4 Jahrzehnten ist die Nahinfrarotspektroskopie (NIRS) in Forschung und klinischer Praxis verfügbar. Zuletzt gab es zahlreiche Veröffentlichungen und wesentliche Entwicklungen auf diesem Gebiet. Dieser Beitrag beschreibt die klinische Anwendung von NIRS in Bezug auf aktuelle Leitlinien, mit dem Schwerpunkt auf der Kinder- und Herzanästhesie. Es werden technische und physiologische Grundlagen und Fallstricke im klinischen Einsatz diskutiert sowie (patho-)physiologische Einflussfaktoren und abgeleitete Größen wie die „fractional oxygen extraction“ (FOE) und der „cerebral oxygen index“ (COx) dargestellt. Empfehlungen für die Interpretation von NIRS-Werten im Zusammenhang mit Einflussfaktoren wie Sauerstofftransportkapazität, Gasaustausch und Kreislauf sowie ein Algorithmus für die Kardioanästhesie werden präsentiert. Limitationen der Methode und die fehlende Vergleichbarkeit von Werten verschiedener Geräte sowie allgemein anerkannte Normwerte werden erklärt. Technische Unterschiede und Vorteile gegenüber Pulsoxymetrie und transkranieller Dopplersonographie werden beleuchtet. Abschließend werden die prognostische Bedeutung und Anforderungen an zukünftige klinische Studien erörtert.

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Titel: Nahinfrarotspektroskopie
Technik, Entwicklung, aktueller Einsatz und Ausblick
verfasst von: Dr. D. Bolkenius
C. Dumps
B. Rupprecht
Publikationsdatum: 15.09.2020
Verlag: Springer Medizin
Schlagwörter: Herzchirurgie
Herzchirurgie
Erschienen in: Die Anaesthesiologie / Ausgabe 3/2021
Print ISSN: 2731-6858
Elektronische ISSN: 2731-6866
DOI: https://doi.org/10.1007/s00101-020-00837-z

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Nahinfrarotspektroskopie

Technik, Entwicklung, aktueller Einsatz und Ausblick

Zusammenfassung

Neu im Fachgebiet AINS

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Blutdrucksenkung schon im Rettungswagen bei akutem Schlaganfall?

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