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Current Neurology and Neuroscience Reports
Erschienen in: Current Neurology and Neuroscience Reports 6/2016

01.06.2016 | Critical Care (SA Mayer, Section Editor)

Brain Multimodality Monitoring: Updated Perspectives

Erschienen in: Current Neurology and Neuroscience Reports | Ausgabe 6/2016

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Abstract

The challenges posed by acute brain injury (ABI) involve the management of the initial insult in addition to downstream inflammation, edema, and ischemia that can result in secondary brain injury (SBI). SBI is often subclinical, but can be detected through physiologic changes. These changes serve as a surrogate for tissue injury/cell death and are captured by parameters measured by various monitors that measure intracranial pressure (ICP), cerebral blood flow (CBF), brain tissue oxygenation (PbtO2), cerebral metabolism, and electrocortical activity. In the ideal setting, multimodality monitoring (MMM) integrates these neurological monitoring parameters with traditional hemodynamic monitoring and the physical exam, presenting the information needed to clinicians who can intervene before irreversible damage occurs. There are now consensus guidelines on the utilization of MMM, and there continue to be new advances and questions regarding its use. In this review, we examine these recommendations, recent evidence for MMM, and future directions for MMM.
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Metadaten
Titel
Brain Multimodality Monitoring: Updated Perspectives
Publikationsdatum
01.06.2016
Erschienen in
Current Neurology and Neuroscience Reports / Ausgabe 6/2016
Print ISSN: 1528-4042
Elektronische ISSN: 1534-6293
DOI
https://doi.org/10.1007/s11910-016-0659-0

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