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发布者:鑫达医学翻译公司 发布时间:2011-10-05 8:50:52 阅读:

原文:
Contraindications
The XX System may not be effective, and is not intended for use, when muscle relaxants or epidural blocks have been used for, or in conjunction with, anesthesia.
Comprehensive relative contraindications to use of Transcranial Motor Evoked Potential (TCeMEP) monitoring include epilepsy, cortical lesions, convexity skull defects, raised intracranial pressure, cardiac disease, proconvulsant medications or anesthetics, intra- cranial electrodes, vascular clips or shunts, and cardiac pacemakers or other implanted biomedical devices. Otherwise unexplained intraoperative seizures and possibly arrhyth- mias are indications to abort TCeMEP.
Warnings And Precautions
Warning: Patients with implanted electronic devices, such as cardiac pacemakers, should not be subjected to electrical stimulation unless specialist medical opinion has first been obtained.
Warning: Do not attempt to use this device when using paralyzing agents on the patient, as nerve surveillance may be compromised.
Warning: Chronically compressed nerves, or severely compressed nerves in an acute setting, are known to be less sensitive to depolarization currents (i.e., have significantly higher depolarization current values). They are also less likely to demonstrate significant changes in their threshold depolarization current values immediately following nerve decompression. Under such circumstances, exercise caution in interpreting displayed data.


译文:
禁忌征
使用肌肉松弛药或硬脊膜外阻滞麻醉时,某系统将会失效。因此不建议使用该系统。
经颅运动诱发电位监测的综合相对禁忌征包括癫痫、皮质损伤、凸状颅骨缺损、颅内压升高、心脏病、使用促抽搐药物或麻醉剂、头皮内电极、血管夹或分流器、心脏起搏器或其他移植生物学设备。其他不明术中发作与可能的心律不齐禁忌征等也不适合进行经颅运动诱导电位监测。
注意与预防
注意: 移植电子装置的患者,如移植心脏起搏器,除非已经有专家的医疗诊断否则不能接收电刺激。
注意:禁止在对患者使用麻醉剂时尝试使用该设备,这样会损伤神经系统监督。
注意:长期压迫神经或骤然加重压迫神经对去极化电流并不敏感(如去极化电流值明显偏高等)。神经减压术后瞬间去极化电流阈值没有明显变化。在该种情况下,需对所显示数据进行仔细分析。


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