Yıl: 2018 Cilt: 8 Sayı: 1 Sayfa Aralığı: 125 - 130 Metin Dili: Türkçe İndeks Tarihi: 21-01-2019

YAKIN KIZILÖTESİ SPEKTROSKOPİSİ İLE ÖLÇÜLEN REJYONEL SEREBRAL OKSİJEN SATÜRASYONU: SİSTEMATİK BİR DERLEME

Öz:
Near-infrared ışığın dokulara penetre olabilmesi, oksihemoglobin ve deoksihemoglobin tarafındanabsorbe edilebilmesi rejyonel serebral oksijen satürasyon ölçümünün temel prensibinioluşturur. Bu yöntemle, serebral dokunun oksijen arz-talep dengesi devamlı ve gerçek zamanlıolarak değerlendirilebilmektedir. Ölçümlerde, beyinde venöz, kapiller ve arteriyel kompartmanlardabulunan kan volümünün sabit bir değer olduğu varsayılır. Bu sebeple serebral oksimetrelerbu kompartmanlara ait oksijenizasyonla ilgili ortalama bir değer sunmaktadırlar.Düşük rejyonel serebral oksijen satürasyon değerleri serebral hipoksi ve/veya iskemi ile ilişkilendirilmiştir.Ancak serebral oksimetrelerin postoperatif nörolojik komplikasyonları azalttığıyönündeki veriler çelişkilidir. Bu yüzden genel anestezi uygulamalarında rutin bir monitörizasyonyöntemi olarak kullanılması önerilmemiştir. Yine de özellikle kardiyak cerrahi ve karotisendarterektomi cerrahisinde kullanımı faydalı olabilir.
Anahtar Kelime:

Regional Cerebral Oxygen Saturation Measured by Near-infrared Spectroscopy: A Systematic Review

Öz:
Penetration of near-infrared light into the tissue and its absorption by oxyhemoglobin and deoxyhemoglobin constitute the basic principle of regional cerebral oxygen saturation measurement. With this method, oxygen supply-demand balance of the cerebral tissue can be evaluated continuously and real-timely. Blood volume present in venous, arterial and capillary compartments of the brain is assumed to be a constant volume in the measurements. Therefore, cerebral oximeters provide an average value related to the oxygenation of these compartments. Low regional cerebral oxygen saturation values were associated with cerebral hypoxia and/or ischemia. However, the data showing that cerebral oximeters decrease postoperative neurological complications are conflicting. Therefore, it has not been suggested as a routine monitoring method in general anaesthesia applications. İts use may be helpful especially in cardiac surgery and carotid endarterectomy surgery.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık
  • Kakihana Y, Matsunaga A, Yasuda T, Imabayashi T, Kanmura Y, Tamura M. Brain oxymetry in the operating room: current status and future directions with particular regard to cytochrome oxidase. Journal of biomedical optics. 2008;13(3):033001--14.
  • Bhatia R, Hampton T, Malde S, Kandala NB, Muammar M, Deasy N, et al. The application of near-infrared oximetry to cerebral monitoring during aneurysm embolization: a comparison with intraprocedural angiography. J Neurosurg Anesthesiol. 2007;19(2):97-104.
  • Cooper RJ, Selb J, Gagnon L, Phillip D, Schytz HW, Iversen HK, et al. A systematic comparison of motion artifact correction techniques for functional near-infrared spectroscopy. Front Neurosci. 2012;6:147.
  • Yoshitani K, Kawaguchi M, Miura N, Okuno T, Kanoda T, Ohnishi Y, et al. Effects of hemoglobin concentration, skull thickness, and the area of the cerebrospinal fluid layer on near-infrared spectroscopy measurements. Anesthesiology. 2007;106(3):458-62.
  • Yoshitani K. Comparison of changes in jugular venous bulb oxygen saturation and cerebral oxygen saturation during variations of haemoglobin concentration under propofol and sevoflurane anaesthesia. British Journal of Anaesthesia. 2005;94(3):341-6.
  • Ito H, Ibaraki M, Kanno I, Fukuda H, Miura S. Changes in the arterial fraction of human cerebral blood volume during hypercapnia and hypocapnia measured by positron emission tomography. J Cereb Blood Flow Metab. 2005;25(7):852-7.
  • Smith M, Elwell C. Near-infrared spectroscopy: shedding light on the injured brain. Anesth Analg. 2009;108(4):1055-7.
  • Murphy GS, Szokol JW, Marymont JH, Greenberg SB, Avram MJ, Vender JS, et al. Cerebral oxygen desaturation events assessed by near-infrared spectroscopy during shoulder arthroscopy in the beach chair and lateral decubitus positions. Anesth Analg. 2010;111(2):496-505.
  • Smith M. Shedding light on the adult brain: a review of the clinical applications of near-infrared spectroscopy. Phil Trans R Soc A. 2011;369(1955):4452-69.
  • Grubhofer G, Plochl W, Skolka M, Czerny M, Ehrlich M, Lassnigg A. Comparing Doppler ultrasonography and cerebral oximetry as indicators for shunting in carotid endarterectomy. Anesth Analg. 2000;91(6):1339-44.
  • Pennekamp C, Bots M, Kappelle L, Moll F, De Borst G. The value of near-infrared spectroscopy measured cerebral oximetry during carotid endarterectomy in perioperative stroke prevention. A review. European Journal of Vascular and Endovascular Surgery. 2009;38(5):539-45.
  • Brott TG, Hobson RW, 2nd, Howard G, Roubin GS, Clark WM, Brooks W, et al. Stenting versus endarterectomy for treatment of carotid-artery stenosis. N Engl J Med. 2010;363(1):11-23.
  • Kakihana Y, Matsunaga A, Yasuda T, Imabayashi T, Kanmura Y, Tamura M. Brain oxymetry in the operating room: current status and future directions with particular regard to cytochrome oxidase. J Biomed Opt. 2008;13(3):033001.
  • Hirsch JC, Charpie JR, Ohye RG, Gurney JG. Near-infrared spectroscopy: what we know and what we need to know--a systematic review of the congenital heart disease literature. J Thorac Cardiovasc Surg. 2009;137(1):154-9, 9e1-12.
  • Zheng F, Sheinberg R, Yee MS, Ono M, Zheng Y, Hogue CW. Cerebral near-infrared spectroscopy monitoring and neurologic outcomes in adult cardiac surgery patients: a systematic review. Anesth Analg. 2013;116(3):663-76.
  • Fischer GW. Recent advances in application of cerebral oximetry in adult cardiovascular surgery. Semin Cardiothorac Vasc Anesth. 2008;12(1):60-9.
  • butterworth jf, mackey dc, wasnick jd. morgan&mikhail clinical anesthesiology. p. 123-42.
  • Denault A, Deschamps A, Murkin JM. A proposed algorithm for the intraoperative use of cerebral near-infrared spectroscopy. Seminars in cardiothoracic and vascular anesthesia. 2007;11(4):274-81.
  • Murkin JM, Arango M. Near-infrared spectroscopy as an index of brain and tissue oxygenation. Br J Anaesth. 2009;103 Suppl 1:i3- 13.
  • Elwell C. A practical users guide to near infrared spectroscopy. 1995.
  • Germon TJ, Evans PD, Barnett NJ, Wall P, Manara AR, Nelson RJ. Cerebral near infrared spectroscopy: emitter-detector separation must be increased. Br J Anaesth. 1999;82(6):831-7.
  • Ferrari M, Quaresima V. Review: Near infrared brain and muscle oximetry: from the discovery to current applications. Journal of Near Infrared Spectroscopy. 2012;20(1):1-14.
  • Ito H, Ibaraki M, Kanno I, Fukuda H, Miura S. Changes in the arterial fraction of human cerebral blood volume during hypercapnia and hypocapnia measured by positron emission tomography. Journal of Cerebral Blood Flow & Metabolism. 2005;25(7):852-7.
  • Ohmae E, Ouchi Y, Oda M, Suzuki T, Nobesawa S, Kanno T, et al. Cerebral hemodynamics evaluation by near-infrared time-resolved spectroscopy: Correlation with simultaneous positron emission tomography measurements. NeuroImage. 2006;29(3):697-705.
  • McCormick PW, Stewart M, Goetting MG, Balakrishnan G. Regional cerebrovascular oxygen saturation measured by optical spectroscopy in humans. Stroke. 1991;22(5):596-602.
  • Springett RJ, Wylezinska M, Cady EB, Hollis V, Cope M, Delpy DT. The oxygen dependency of cerebral oxidative metabolism in the newborn piglet studied with 31P NMRS and NIRS. Adv Exp Med Biol. 2003;530:555-63.
  • Richter OM, Ludwig B. Cytochrome c oxidase--structure, function, and physiology of a redox-driven molecular machine. Rev Physiol Biochem Pharmacol. 2003;147:47-74.
  • Goldman S, Sutter F, Ferdinand F, Trace C. Optimizing intraoperative cerebral oxygen delivery using noninvasive cerebral oximetry decreases the incidence of stroke for cardiac surgical patients. Heart Surg Forum. 2004;7(5):E376-81.
  • Toet MC, Lemmers PM. Brain monitoring in neonates. Early Hum Dev. 2009;85(2):77-84.
  • Jobsis FF. Noninvasive, infrared monitoring of cerebral and myocardial oxygen sufficiency and circulatory parameters. Science. 1977;198(4323):1264-7.
  • Thavasothy M, Broadhead M, Elwell C, Peters M, Smith M. A comparison of cerebral oxygenation as measured by the NIRO 300 and the INVOS 5100 Near-Infrared Spectrophotometers. Anaesthesia. 2002;57(10):999-1006.
  • Matcher SJ, Elwell CE, Cooper CE, Cope M, Delpy DT. Performance comparison of several published tissue near-infrared spectroscopy algorithms. Anal Biochem. 1995;227(1):54-68.
  • Chance B, Suzuki S, Takasaki S, Ozaki T, Kobayashi Y, Alfano RR, et al. <title>Tissue oxygenation monitor using NIR spatially resolved spectroscopy</title>. 1999;3597:582-92.
  • Robles FE, Chowdhury S, Wax A. Assessing hemoglobin concentration using spectroscopic optical coherence tomography for feasibility of tissue diagnostics. Biomed Opt Express. 2010;1(1):310-7.
  • Ciurczak EW, Igne B. Pharmaceutical and Medical Applications of Near-Infrared Spectroscopy. Second ed. USA: CRC Press, Taylor & Francis Group; 2015. p. 122-8.
  • Sakudo A. Near-infrared spectroscopy for medical applications: Current status and future perspectives. Clin Chim Acta. 2016;455:181-8.
  • Steppan J, Hogue CW, Jr. Cerebral and tissue oximetry. Best Pract Res Clin Anaesthesiol. 2014;28(4):429-39.
  • Ghosh A, Elwell C, Smith M. Review article: cerebral nearinfrared spectroscopy in adults: a work in progress. Anesth Analg. 2012;115(6):1373-83.
  • Ferrari M, Giannini I, Sideri G, Zanette E. Continuous non invasive monitoring of human brain by near infrared spectroscopy. Adv Exp Med Biol. 1985;191:873-82.
APA KAYA C, ER M (2018). YAKIN KIZILÖTESİ SPEKTROSKOPİSİ İLE ÖLÇÜLEN REJYONEL SEREBRAL OKSİJEN SATÜRASYONU: SİSTEMATİK BİR DERLEME. , 125 - 130.
Chicago KAYA Cengiz,ER Mehmet Can YAKIN KIZILÖTESİ SPEKTROSKOPİSİ İLE ÖLÇÜLEN REJYONEL SEREBRAL OKSİJEN SATÜRASYONU: SİSTEMATİK BİR DERLEME. (2018): 125 - 130.
MLA KAYA Cengiz,ER Mehmet Can YAKIN KIZILÖTESİ SPEKTROSKOPİSİ İLE ÖLÇÜLEN REJYONEL SEREBRAL OKSİJEN SATÜRASYONU: SİSTEMATİK BİR DERLEME. , 2018, ss.125 - 130.
AMA KAYA C,ER M YAKIN KIZILÖTESİ SPEKTROSKOPİSİ İLE ÖLÇÜLEN REJYONEL SEREBRAL OKSİJEN SATÜRASYONU: SİSTEMATİK BİR DERLEME. . 2018; 125 - 130.
Vancouver KAYA C,ER M YAKIN KIZILÖTESİ SPEKTROSKOPİSİ İLE ÖLÇÜLEN REJYONEL SEREBRAL OKSİJEN SATÜRASYONU: SİSTEMATİK BİR DERLEME. . 2018; 125 - 130.
IEEE KAYA C,ER M "YAKIN KIZILÖTESİ SPEKTROSKOPİSİ İLE ÖLÇÜLEN REJYONEL SEREBRAL OKSİJEN SATÜRASYONU: SİSTEMATİK BİR DERLEME." , ss.125 - 130, 2018.
ISNAD KAYA, Cengiz - ER, Mehmet Can. "YAKIN KIZILÖTESİ SPEKTROSKOPİSİ İLE ÖLÇÜLEN REJYONEL SEREBRAL OKSİJEN SATÜRASYONU: SİSTEMATİK BİR DERLEME". (2018), 125-130.
APA KAYA C, ER M (2018). YAKIN KIZILÖTESİ SPEKTROSKOPİSİ İLE ÖLÇÜLEN REJYONEL SEREBRAL OKSİJEN SATÜRASYONU: SİSTEMATİK BİR DERLEME. Bozok Tıp Dergisi, 8(1), 125 - 130.
Chicago KAYA Cengiz,ER Mehmet Can YAKIN KIZILÖTESİ SPEKTROSKOPİSİ İLE ÖLÇÜLEN REJYONEL SEREBRAL OKSİJEN SATÜRASYONU: SİSTEMATİK BİR DERLEME. Bozok Tıp Dergisi 8, no.1 (2018): 125 - 130.
MLA KAYA Cengiz,ER Mehmet Can YAKIN KIZILÖTESİ SPEKTROSKOPİSİ İLE ÖLÇÜLEN REJYONEL SEREBRAL OKSİJEN SATÜRASYONU: SİSTEMATİK BİR DERLEME. Bozok Tıp Dergisi, vol.8, no.1, 2018, ss.125 - 130.
AMA KAYA C,ER M YAKIN KIZILÖTESİ SPEKTROSKOPİSİ İLE ÖLÇÜLEN REJYONEL SEREBRAL OKSİJEN SATÜRASYONU: SİSTEMATİK BİR DERLEME. Bozok Tıp Dergisi. 2018; 8(1): 125 - 130.
Vancouver KAYA C,ER M YAKIN KIZILÖTESİ SPEKTROSKOPİSİ İLE ÖLÇÜLEN REJYONEL SEREBRAL OKSİJEN SATÜRASYONU: SİSTEMATİK BİR DERLEME. Bozok Tıp Dergisi. 2018; 8(1): 125 - 130.
IEEE KAYA C,ER M "YAKIN KIZILÖTESİ SPEKTROSKOPİSİ İLE ÖLÇÜLEN REJYONEL SEREBRAL OKSİJEN SATÜRASYONU: SİSTEMATİK BİR DERLEME." Bozok Tıp Dergisi, 8, ss.125 - 130, 2018.
ISNAD KAYA, Cengiz - ER, Mehmet Can. "YAKIN KIZILÖTESİ SPEKTROSKOPİSİ İLE ÖLÇÜLEN REJYONEL SEREBRAL OKSİJEN SATÜRASYONU: SİSTEMATİK BİR DERLEME". Bozok Tıp Dergisi 8/1 (2018), 125-130.