MEDLINE Journals

    Multimodality monitoring in neurocritical care.

    Wartenberg KE, Schmidt JM, Mayer SA 
    Crit Care Clin 2007 Jul; 23(3) :507-38.

    Multimodality monitoring of cerebral physiology encompasses the application of different monitoring techniques and integration of several measured physiologic and biochemical variables into assessment of brain metabolism, structure, perfusion, and oxygenation status. Novel monitoring techniques include transcranial Doppler ultrasonography, neuroimaging, intracranial pressure, cerebral perfusion, and cerebral blood flow monitors, brain tissue oxygen tension monitoring, microdialysis, evoked potentials, and continuous electroencephalogram. Multimodality monitoring enables immediate detection and prevention of acute neurologic injury as well as appropriate intervention based on patients' individual disease states in the neurocritical care unit. Real-time analysis of cerebral physiologic, metabolic, and cardiovascular parameters simultaneously has broadened knowledge about complex brain pathophysiology and cerebral hemodynamics. Integration of this information allows for more precise diagnosis and optimization of management of patients with brain injury.

    Central Nervous System Diseases
    Combined Modality Therapy
    Critical Care
    Decision Support Systems, Clinical
    Diagnostic Imaging
    Intensive Care Units
    Monitoring, Physiologic
    Neurologic Examination


    Pub Type(s)
    Journal Article Review
    PubMed ID


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