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Noninvasive Monitoring in the Neurointensive Care Unit: EEG, Oximetry, TCD

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Textbook of Neurointensive Care

Abstract

Noninvasive monitoring modalities in the neurointensive care unit fall into two broad categories. The first aims to assess function of the nervous system. Examples of such monitoring modalities are the clinical exam, the electroencephalogram, and the recording of evoked potentials. Since neurological function is disrupted before cellular integrity is lost, monitors of function provide early warning of inadequate oxygen supply and provide opportunity to correct this problem before irreversible damage occurs. The second category aims to determine the adequacy of cerebral perfusion. Examples are transcranial Doppler ultrasonography, near-infrared spectroscopy, tissue pO2, and brain or jugular venous oximetry. No single monitoring technique is without its limitations or addresses all questions raised by a given patient.

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Authors and Affiliations

  1. Division of Neuroanesthesia, Department of Anesthesiology, University of Florida College of Medicine, 1600 SW Archer Rd, Rm M509, 100254, Gainesville, FL, 32610-0254, USA

    Christoph N. Seubert MD, PhD & Michael E. Mahla MD

  2. Intraoperative Neurophysiologic Monitoring Laboratory, Shands Hospital, Gainesville, FL, USA

    Christoph N. Seubert MD, PhD

  3. Department of Neurology, University of Florida College of Medicine, Gainesville, FL, 32611, USA

    Jean E. Cibula MD

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  1. Christoph N. Seubert MD, PhD
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  2. Jean E. Cibula MD
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  3. Michael E. Mahla MD
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Correspondence to Christoph N. Seubert MD, PhD .

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Editors and Affiliations

  1. Pulmonary and Critical Care Medicine, Geisinger Health System, Danville, Pennsylvania, USA

    A Joseph Layon

  2. Departments of Anesthesiology & Surgery, University of Florida College of Medicine, Gainesville, Florida, USA

    Andrea Gabrielli

  3. Department of Neurosurgery, University of Florida, Gainesville, Florida, USA

    William A. Friedman

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Seubert, C.N., Cibula, J.E., Mahla, M.E. (2013). Noninvasive Monitoring in the Neurointensive Care Unit: EEG, Oximetry, TCD. In: Layon, A., Gabrielli, A., Friedman, W. (eds) Textbook of Neurointensive Care. Springer, London. https://doi.org/10.1007/978-1-4471-5226-2_7

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