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Physical Transmission of Jet-ventilation Oscillations to Frontal Registration Positions for Process-calculated EEG-Parameters: A Clinical-experimental Pilot Study

机译:人工呼吸机通气向额叶注册位置的过程计算的脑电参数的物理传输:临床实验性试验研究。

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During endoscopic laser resection of a squamous cell carcinoma of the vocal cord, in a 70-year-old patient (ASA 2) using tubeless high frequency jet-ventilation, we investigated whether jet-ventilation oscillations could be transmitted to frontal EEG-recording positions.Under total intravenous anaesthesia with propofol and remifentanil and muscle relaxation with rocuronium, jet-ventilation using two different pulsating frequencies (600/min and 60/min) was performed. Using piezzo-electric sensor technology, the Aspect A1000 (Aspect Medical Systems Inc., Natick, MA, USA) proved that synchronous pulse frequency oscillations from jet-ventilation could be transmitted to the frontal region. Further studies to investigate the influences of these effects on electrophysiological parameters for the evaluation of depth of anaesthesia are currently in progress. Introduction Endogenous (biological) and exogenous (technical) induced oscillations can contaminate the registration of biosignals at a topographical distance from the epicentre of generated oscillations. The most well known endogenous interference signals which can influence EEG-monitoring are the electro-cardiogram (ECG), electro-myogram (EMG), electro-oculogram (EOG) and the electro-dermatogram (EDG) [1]. In addition, influences caused by breathing, sweating, vascular pulsations or blinking effects must be considered [2]. The types of medical-technical instruments which can influence EEG results range from simple infusion and perfusion devices [3] to highly complicated navigation systems for surgical intervention [4].Goal of this study was to investigate whether high frequency jet-ventilation oscillations can be transmitted to frontal positions used for EEG-recordings (Figure 1).
机译:在内镜激光切除声带鳞状细胞癌的过程中,在一名70岁患者(ASA 2)中使用无管高频喷射通气,我们调查了喷射通气振荡是否可以传导至额叶脑电图记录位置在用丙泊酚和瑞芬太尼进行全静脉麻醉并用罗库溴铵进行肌肉放松的情况下,使用两种不同的脉动频率(600 / min和60 / min)进行射流通气。 Aspect A1000(美国马萨诸塞州内蒂克,Aspect Medical Systems Inc.)使用压电传感器技术证明,来自喷射通风的同步脉冲频率振荡可以传递到额叶区域。目前正在进行进一步研究以研究这些作用对电生理参数的影响,以评估麻醉深度。简介内源性(生物)和外源性(技术)引起的振荡会污染生物信号的配准,该信号的位置距生成的振荡震中点的地形位置。可以影响EEG监测的最著名的内源性干扰信号是心电图(ECG),肌电图(EMG),眼电图(EOG)和皮肤电图(EDG)[1]。此外,还必须考虑由呼吸,出汗,血管搏动或眨眼引起的影响[2]。影响脑电图结果的医疗技术设备类型从简单的输液和灌注设备[3]到用于手术干预的高度复杂的导航系统[4]。该研究的目的是研究是否可以消除高频喷射通气振荡传输到用于脑电图记录的额头位置(图1)。

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