near infrared spectroscopy (nirs) of the thenar eminence in anesthesia and intensive care近红外光谱(nirs)鱼际隆起在麻醉和重症监护.pdfVIP

Lipcsey et al. Annals of Intensive Care 2012, 2:11 /content/2/1/11 REVIEW Open Access Near infrared spectroscopy (NIRS) of the thenar eminence in anesthesia and intensive care Miklos Lipcsey1,2, Nicholas CZ Woinarski2 and Rinaldo Bellomo2,3* Abstract Near infrared spectroscopy of the thenar eminence (NIRSth) is a noninvasive bedside method for assessing tissue oxygenation. The NIRS probe emits light with several wavelengths in the 700- to 850-nm interval and measures the reflected light mainly from a predefined depth. Complex physical models then allow the measurement of the relative concentrations of oxy and deoxyhemoglobin, and thus tissue saturation (StO2), as well as an approximation of the tissue hemoglobin, given as tissue hemoglobin index. Here we review of current knowledge of the application of NIRSth in anesthesia and intensive care. We performed an analytical and descriptive review of the literature using the terms “near-infrared spectroscopy” combined with “anesthesia,” “anesthesiology,” “intensive care,” “critical care,” “sepsis,” “bleeding,” “hemorrhage,” “surgery,” and “trauma” with particular focus on all NIRS studies involving measurement at the thenar eminence. We found that NIRS has been applied as clinical research tool to perform both static and dynamic assessment of StO . th 2 Specifically, a vascular occlusion test (VOT) with a pressure cuff can be used to provide a dynamic assessment of the tissue oxygenation response to ischemia. StO2 changes during such induced ischemia-reperfusion yield information on oxygen consumption and microvasculatory reactivity. Some evidence suggests that StO2 during VOT can detect fluid responsive