关键词: Brain tissue oxygenation Frazier burr hole Neuromonitoring Occipital

来  源:   DOI:10.1016/j.wneu.2024.06.008

Abstract:
BACKGROUND: Continuous bedside monitoring of brain tissue oxygen levels is a crucial component in the management of comatose patients suffering from acute brain injury on neurointensive care units. Ensuring sufficient brain oxygenation is recognized as an essential objective within neurocritical care, aimed at safeguarding patients from secondary ischemia. Hypoperfusion in occipital and the posterior watershed regions often remains undetected, as the placement of probes in these areas is challenging. A major concern is that patients would have to lie on the traditionally used implanted bolts due to the occipital entry point of the probes. Therefore, we present a novel technique compatible with magnetic resonance imaging that enables bedside placement of brain tissue oxygen probes without the use of a bolt in these areas.
METHODS: We conducted bedside implantations of Licox brain tissue oxygenation probes through Frazier\'s point utilizing peripheral venous cannulas on burr holes eliminating the need for bolts.
RESULTS: A novel approach was successfully established for the bedside implantation of a Licox brain tissue oxygenation probe for occipital regions.
CONCLUSIONS: This technical note describes the feasibility of a novel, simple, and straightforward bedside technique for boltless implantation of Licox brain tissue oxygen probes leading to rigid fixation and compatibility with magnetic resonance imaging.
摘要:
背景:在神经重症监护病房中,对患有急性脑损伤的昏迷患者进行持续床边监测是至关重要的组成部分。确保充足的脑氧合被认为是神经重症监护的基本目标。旨在保护患者免受继发性缺血。枕骨和后分水岭区域的灌注不足通常未被发现,因为在这些区域放置探针是具有挑战性的。主要的问题是,由于探针的枕骨进入点,患者将不得不躺在传统上使用的植入螺栓上。因此,我们提出了一种与磁共振成像兼容的新技术,该技术可以在不使用螺栓的情况下将脑组织氧探头放置在床边。
方法:我们利用钻孔上的外周静脉插管,通过Frazier点进行了Licox脑组织氧合探针的床边植入,消除了对螺栓的需要。
结果:成功建立了一种新方法,用于枕骨区的Licox脑组织氧合探针的床边植入。
结论:本技术说明描述了小说的可行性,用于无螺栓植入Licox脑组织氧探针的简单而直接的床旁技术,导致刚性固定和与磁共振成像的兼容性。
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