1.颅内压监护仪 PPT

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1、Integra®CaminoICPMonitoringSystemConfidential-ForInternalUseOnly-DoNotDistribute-0103223PresentationObjectives培训目标•Attheendofthepresentationyouwill:•BefamiliarwiththehistoryoftheIntegraCaminoICPMonitoringSystemaswellasitstechnology熟悉IntegraCamino颅内压监护仪的发展历史和技术•Beabletoin-service

2、theCaminomonitor,andhelpanaccountstartusingthedevice能够提供Camino监护仪现场支持的使用，培训客户•Understandthedifferentplacementtechniques,monitoringlocations,andcathetersIntegraoffersforintracranialpressure了解不同的放置技术、监护位置和Integra的导管产品Confidential-ForInternalUseOnly-DoNotDistribute-0103223Presentat

3、ionOutline培训大纲•ClinicalReview临床基础•CaminoSystemOverviewCamino产品一览•ProductHistory产品发展史•ProductWalkthrough•Monitor监护仪•Catheters导管Confidential-ForInternalUseOnly-DoNotDistribute-0103223CLINICALREVIEWConfidential-ForInternalUseOnly-DoNotDistribute-0103223AppliedAnatomy/Procedures解剖应用

4、MonroeKelliedoctrineMonroeKellie原理•Theskullisaclosed,fixedvolumecontainingthefollowingincompressiblefluids:颅腔是个封闭的有着固定的体积的腔，里面容纳着体积不能压缩的液体•Brain大脑•Blood血液•CSF脑脊液•IncreaseinvolumeofanyoftheabovecausesincreasedIntracranialPressure(ICP)•增加任何一个物质的体积，都会引起颅内压的升高Managingapatient’sICPis

5、CRITICALtotheirneurologicaloutcomeandsurvival监测颅内压，对于神经外科手术的预后和存活率非常重要NeuroAnatomy,Pathology&ClinicalApplicationSkull颅骨Traumaticinjuries颅脑创伤•Basalskullfractures颅骨骨折•Cerebrospinalfluid(CSF)leaks脑脊液渗漏•TreatedbyplacementoflumbarorventricularcatheterstodrainCSF植入分流管•ConnectedtoanEVD

6、连接外引流管ConceptsofIntracranialPressure(ICP)颅内压监测的概念DiseaseState/PatientType疾病情况/患者类型-TraumaticBrainInjury(TBI)颅脑创伤-SubarachnoidHemorrhage(SAH)蛛网膜下腔出血-Hydrocephalus脑积水WhymonitorICP?为什么要监测颅内压MonroeKelliedoctrineMonroeKellie原理•Theskullisaclosed,fixedvolumecontainingthefollowingincomp

7、ressiblefluids:颅腔是个封闭的有着固定的体积的腔，里面容纳着体积不能压缩的液体•Brain大脑•Blood血液•CSF脑脊液•NormalICP~0–15mmHg颅内压正常值0-15mmHg•Moderateelevation>20mmHg中度升高>20mmHg•CerebralPerfusionPressure(CPP)颅内灌注压•Cerebralperfusioncalculated颅内灌注压计算•CPP=MAP(meanarterialpressure)–ICPCPP=MAP(平均动脉压）-ICP（颅内压）•CPP50-70mmHg

8、•Cerebralperfusionisnecessaryforcarryingoxygent