Brain ultrasound (BUS) is being progressively used in the neurocritical care settings as a bedside repeatable and safe tool able to assess cerebral hemodynamics [ 1 ]. Transcranial color-duplex sonography (TCCD) combines Doppler pulse wave …

Understanding the risks of contrast-induced encephalopathy (CIE), a serious complication of contrast agents, is crucial in endovascular treatment. We present the case of a 73-year-old woman who developed CIE in the medulla and cervical cord during …

Almost 70 years after the initial works by Lassen on cerebral autoregulation [ 1 ], the recommended cerebral perfusion pressure (CPP) targets after a traumatic brain injury (TBI) are still between 60 and 70 mm Hg [ 2 , 3 ]. Although these targets …

Facial palsy (FP) is the most significant complication of parotidectomy. The rate of early postoperative FP following a parotidectomy with nerve dissection varies notably from 10 to 77%, although only up to 7% of patients develop permanent FP [ 1 – …5

Although neonates and children with congenital heart disease are primarily hospitalized for cardiac and pulmonary diseases, they are also at an increased risk for neurologic injury due to both empiric differences that can exist in their nervous …

It is estimated that more than 15,000 children experience in-hospital cardiac arrest (IHCA) [ 1 ] and more than 5000 children experience out-of-hospital cardiac arrest (OHCA) [ 2 ] annually in the United States. Survival rates from pediatric …

Brain injury is common in pediatric critical care as a result of either a primary neurological or neurosurgical process, secondary brain injury or as a consequence of systemic disease. The ability to identify children at risk of neurologic injury …

There is a longstanding history and desire of assessing the brain by multiple invasive and noninvasive modalities in neurocritical care. The technological advances now allow us to integrate the enormous amount of time-synchronized data from these …

Secondary brain injury after neurotrauma is comprised of a host of distinct, potentially concurrent and interacting mechanisms that may exacerbate primary brain insult. Multimodality neuromonitoring is a method of measuring multiple aspects of the …

Das sich entwickelnde Gehirn ist in der Perinatalperiode besonders empfindlich für eine Vielzahl von Insulten, wie z. B. Extremfrühgeburtlichkeit und perinatale Asphyxie. Ihre Komplikationen können zu lebenslangen neurokognitiven, sensorischen und …

Extracorporeal membrane oxygenation is a potentially lifesaving intervention for children with severe cardiac or respiratory failure. It is used with increasing frequency and in increasingly more complex and severe diseases. Neurological injuries …

Critically ill children with acute neurologic dysfunction are at risk for a variety of complications that can be detected by noninvasive bedside neuromonitoring. Continuous electroencephalography (cEEG) is the most widely available and utilized …

Cerebral blood flow (CBF) autoregulation (AR) can be monitored using invasive modalities, such as intracranial pressure (ICP) and arterial blood pressure (ABP) to calculate the CBF AR index (PRx). Monitoring PRx can reduce the extent of secondary …

Die automatisierte Berechnung des EEG-Indexwertes ist ein hilfreiches Instrument bei der Steuerung der Narkosetiefe und somit auch der Delirprävention. Allerdings gibt es dabei einiges zu beachten.