Regional Brain Monitoring in the Neurocritical Care Unit

被引：17

作者：

Frontera, Jennifer ^{[1
]}

Ziai, Wendy ^{[2
]}

O'Phelan, Kristine ^{[3
]}

Leroux, Peter D. ^{[4
]}

Kirkpatrick, Peter J. ^{[5
]}

Diringer, Michael N. ^{[6
]}

Suarez, Jose I. ^{[7
]}

机构：

[1] Cleveland Clin Fdn, Cerebrovasc Ctr, Cleveland, OH 44195 USA

[2] Johns Hopkins Univ, Dept Neurol Neurol Surg Anesthesiol & Crit Care M, Baltimore, MD USA

[3] Univ Miami, Miller Sch Med, Dept Neurol, Miami, FL 33136 USA

[4] Main Line Hlth Brain & Spine Ctr, Wynnewood, PA USA

[5] Univ Cambridge, Div Neurosurg, Cambridge, England

[6] Washington Univ, Sect Neurol Crit Care, Dept Neurol Neurosurg & Anesthesiol, St Louis, MO USA

[7] Baylor Coll Med, Dept Neurol, Div Vasc Neurol & Neurocrit Care, Houston, TX 77030 USA

来源：

NEUROCRITICAL CARE | 2015年 / 22卷 / 03期

基金：

美国国家卫生研究院;

关键词：

Neuromonitoring; Neurocritical care; Microdialysis; Brain tissue oxygenation; Cerebral blood flow; ANEURYSMAL SUBARACHNOID HEMORRHAGE; POSITRON-EMISSION-TOMOGRAPHY; CEREBRAL OXYGEN DELIVERY; HEAD-INJURED PATIENTS; TISSUE OXYGEN; CEREBROVASCULAR AUTOREGULATION; INTRACEREBRAL MICRODIALYSIS; INTRACRANIAL-PRESSURE; EXTRACELLULAR LEVELS; CLINICAL-PRACTICE;

D O I：

10.1007/s12028-015-0133-x

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Regional multimodality monitoring has evolved over the last several years as a tool to understand the mechanisms of brain injury and brain function at the cellular level. Multimodality monitoring offers an important augmentation to the clinical exam and is especially useful in comatose neurocritical care patients. Cerebral microdialysis, brain tissue oxygen monitoring, and cerebral blood flow monitoring all offer insight into permutations in brain chemistry and function that occur in the context of brain injury. These tools may allow for development of individual therapeutic strategies that are mechanistically driven and goal-directed. We present a summary of the discussions that took place during the Second Neurocritical Care Research Conference regarding regional brain monitoring.

引用

页码：348 / 359

页数：12

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