Akademik Veri Yönetim Sistemi
Çocuk Yoğun Bakımda Monitörizasyon, Mehmet Boşnak, Editör, Türkiye Klinikleri Yayınevi, İstanbul, ss.78-81, 2022
Initiating and maintaining quality cardiopulmonary resuscitation (CPR) is associated with positive outcomes. However, methods measuring the quality of CPR are generally inadequate. Therefore, noninvasive and invasive monitoring techniques can be used to assess and guide the quality of CPR. Continuous blood pressure monitoring with arterial catheterization, end-tidal carbon dioxide pressure monitoring, electroencephalography monitoring, echocardiographic examination and the use of feedback devices during CPR are some of these techniques. Invasive hemodynamic monitoring during cardiopulmonary resuscitation provides information about compressions and blood pressures generated by administered drugs and helps guide rescuers quality of CPR. Measurement of end-tidal carbon dioxide pressure (ETCO2) using capnography is a non-invasive method that provides information about cardiac output and organ perfusion during cardiac arrest. Non-convulsive seizures and status epilepticus are common in children after cardiac arrest, so continuous EEG monitoring is recommended. When cerebral NIRS devices are placed in the cranium, they can measure mixed oxygen saturation in the superficial part of the frontal lobes, providing information about cerebral perfusion during cardiac arrest and resuscitation.