Abstract
Stroke as the cause of death stably ranks second in world reports of the World Health Organization. Recently, one of the most pressing problems is the rehabilitation of this category of patients. The authors analyzed the realities of the modern approach to the verticalization of patients with acute disorders of the cerebral circulation and checked the possibility of improving control over it. The article condemns the possibility of using the method of early vertical introspection at the stage of early verticalization for possible prevention of perfusion complications with disturbance of oxygenation of the brain tissue during verticalization. A study of groups with ischemic strokes in carotid basins was carried out. Data were obtained on a significant decrease in cerebral oximetry indices during early verticalization in this category of patients. Conclusions are drawn on the need for further study with the purpose of introducing this technology into recommendations for the rehabilitation of patients with ischemic stroke.References
- Всемирная организация здравоохранения (ВОЗ). [Электронный ресурс]. URL: http://www.who.int/mediacentre/factsheets/fs310/ru/index1.html. (Дата обращения: 14 марта 2018 г.)
- Приказ Министерства здравоохранения Российской Федерации от 29 декабря 2012 г. № 1705н «О Порядке организации медицинской реабилитации», Москва, 2013. [Order of the Ministry of Health of the Russian Federation of December 29, 2012 No. 1705n “On the Order of Organization of Medical Rehabilitation», Moscow, 2013. (In Russ)]
- Frost E.A.M. Cerebral oximetry: Emerging Applications for an Established Technology. Anestesiology News. Special edition. October 2012. 27–34.
- Budohovski K., Zwejfel C., Kasprowicz M. What come first? The dynamics of cerebral oxygenation and blood flow in response to changes in arterial pressure and intracranial pressure after head injury. Br. J. Anesth. 2012; 108(1): 89–99.
- Rodriguez A., Lisboa T., Martin-Loeches I. Mortality and regional oxygen saturation index in septic shock patients: a pilot study. Trauma. 2011; 70(5): 1145–1152.
- Harilall Y., Adam J., Biccard B., Reddi A. The effect of optimising cerebral tissue oxygen saturation on markers of neurological injury during coronary artery bypass graft surgery. Heart Lung Circulation. 2014; 1(23): 68–74.
- Edmond H.J. Kaplan’s Cardiac Anesthesia. 6th ed. New York: Elsevier Saunders, 2011: 466–495.
- Edmond H.J., et al. Monitoring the Nervous System for Anesthesiologists and Other Health Care Professionals. New York: Springer, 2011: 219–240.
- Vohra H.A., Modi A., Ohri S.K. Does use of intra-operative cerebral regional oxygen saturation monitoring during cardiac surgery lead to improved clinical outcomes? Interactive cardiovascular and thoracic surgery. 2009; 9(2): 318–322.
- Litscher G., Schwarz G. Transcranial cerebral oximetry — is it clinically useless at this moment to interpret absolute values obtained by the INVOS 3100 cerebral oximeter? Biomedizinische Technik. Biomedical engineering. 1997; 42(4): 74–77.
- Schwarz G., Litscher G., Kleinert R., Jobstmann R. Cerebral oximetry in dead subjects. Journal of neurosurgical anesthesiology. 1996; 8(3): 189–193.
- Kim M.B., Ward C.R. Estimation of jugular venous O2 saturation from cerebral oximetry or arterial O2 saturation isocapnic hypoxia. Journal of Clinical Monitoring and Computing. 2000; 16(3): 191–199.
- Fun-Sun F.Y., Chia-Chih A.T., Chee-Yueh A.H. Cerebral oxygen desaturation is associated with early postoperative neuropsychological dysfunction in patients undergoing cardiac surgery. Journal of Cardiothoracic and Vascular Anesthesia. 2004; 18(5): 552–558.
- Zogogiannis I., Iatrou C., Lazarides M., et al. Evaluation of an intraoperative algorithm based on near-infrared refracted spectroscopy monitoring, in the intraoperative decision for shunt placement, in patients undergoing carotid endarterectomy. Middle East Journal of Anesthesiology. 2011; 21(3): 367–373.
- Colak Z., Borojevic M., Bogovic A., et al. Influence of intraoperative cerebral oximetry monitoring on neurocognitive function after coronary artery bypass surgery: a randomized, prospective study. European Journal of Cardio-Thoracic Surgery. 2015; 47(3): 447–454.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Copyright (c) 2018 ANNALS OF CRITICAL CARE