Multimodal monitoring in neurointensive care of severe traumatic brain injury


Authors: Hejčl Aleš 1;  Bolcha Martin 1;  Procházka Jan 2;  Hušková Eva 3;  Sameš Martin 1
Authors‘ workplace: Neurochirurgická klinika Univerzity Jana Evangelisty Purkyně, Krajská zdravotní, a. s., Masarykova nemocnice, o. z., Ústí nad Labem 1;  Centrální JIP, Krajská zdravotní, a. s., Masarykova nemocnice, o. z., Ústí nad Labem 2;  Oddělení ARIM, Krajská zdravotní, a. s., Masarykova nemocnice, o. z., Ústí nad Labem 3
Published in: Anest. intenziv. Med., 21, 2010, č. 2, s. 104-111
Category: Intensive Care Medicine - Review Article

Overview

The therapy of traumatic brain injury consists of prevention and therapy of secondary injury. Proper and early diagnosis is necessary for adequate treatment. Standard monitoring methods in today’s neurointensive care include clinical observation, intracranial pressure monitoring and repeated brain CT scans. During the last 10 years, new methods have been implemented in clinical practice that can improve our understanding of the pathophysiology of brain injury and provide early diagnosis of secondary trauma. These methods include tissue oxymetry, microdialysis and brain tissue blood flow. Their common application constitutes so called multimodal monitoring. In the following review we introduce these methods in neurointensive care. Further, we summarize our experience with 50 patients with multimodal monitoring since 2006.

Keywords:
head trauma – multimodal monitoring – intracranial pressure – tissue oxymetry – microdialysis – cerebral blood flow


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Anaesthesiology, Resuscitation and Inten Intensive Care Medicine
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