Research progress on the application of near-infrared spectroscopy monitoring in the perioperative period of children with congenital heart disease
Congenital heart disease is the most common type of heart disease in children,and most patients require prompt surgery.However,postoperative brain injury and adverse neurodevelopmental out-comes have always been common neurological complications after congenital heart surgery,which seriously affect the prognosis of children.Effective surveillance is essential for proactive prevention,early detection and timely management of neurological complications.The use of near-infrared spectroscopy(NIRS)for mo-nitoring regional cerebral oxygen saturation(rScO2),or multimodal monitoring combined with other brain nerve function monitoring methods,can help to detect adverse events of cerebral ischemia and hypoxia in time,and then adjust the influencing factors for intervention,which may be beneficial to reduce the inci-dence of postoperative nerve injury and improve the prognosis of children.This article reviews the principle and influencing factors of NIRS and its application in the perioperative period of children with congenital heart disease and in combination with other monitoring methods,aiming to provide the basis for perioperative neurological function monitoring in children with congenital heart disease.
Cardiopulmonary bypassNear-infrared spectroscopyRegional cerebral oxygen satu-rationBrain nerve function monitoring
万方数据
维普
