MEDLINE Journals

    Multimodality monitoring in neurocritical care.

    Authors
    Wartenberg KE, Schmidt JM, Mayer SA 
    Institution

    Neurological Intensive Care Unit, New York Presbyterian Hospital, Columbia University Medical Center, 710 W. 168th Street, New York, NY 10032, USA.

    Source
    Crit Care Clin 2007 Jul; 23(3) :507-38.
    Abstract

    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.

    Mesh
    Central Nervous System Diseases
    Cerebrum
    Combined Modality Therapy
    Critical Care
    Decision Support Systems, Clinical
    Diagnostic Imaging
    Electroencephalography
    Humans
    Intensive Care Units
    Monitoring, Physiologic
    Neurologic Examination
    Oximetry
    Language

    eng

    Pub Type(s)
    Journal Article Review
    PubMed ID

    17900483

    Content Manager
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