Brain Multimodality Monitoring: A New Tool in Neurocritical Care of Comatose Patients
Neurocritical care patients are at risk of developing secondary brain injury from inflammation, ischemia, and edema that follows the primary insult. Recognizing clinical deterioration due to secondary injury is frequently challenging in comatose patients. Multimodality monitoring (MMM) encompasses v...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Critical Care Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2017/6097265 |
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| author | Nudrat Tasneem Edgar A. Samaniego Connie Pieper Enrique C. Leira Harold P. Adams David Hasan Santiago Ortega-Gutierrez |
| author_facet | Nudrat Tasneem Edgar A. Samaniego Connie Pieper Enrique C. Leira Harold P. Adams David Hasan Santiago Ortega-Gutierrez |
| author_sort | Nudrat Tasneem |
| collection | DOAJ |
| description | Neurocritical care patients are at risk of developing secondary brain injury from inflammation, ischemia, and edema that follows the primary insult. Recognizing clinical deterioration due to secondary injury is frequently challenging in comatose patients. Multimodality monitoring (MMM) encompasses various tools to monitor cerebral metabolism, perfusion, and oxygenation aimed at detecting these changes to help modify therapies before irreversible injury sets in. These tools include intracranial pressure (ICP) monitors, transcranial Doppler (TCD), Hemedex™ (thermal diffusion probe used to measure regional cerebral blood flow), microdialysis catheter (used to measure cerebral metabolism), Licox™ (probe used to measure regional brain tissue oxygen tension), and continuous electroencephalography. Although further research is needed to demonstrate their impact on improving clinical outcomes, their contribution to illuminate the black box of the brain in comatose patients is indisputable. In this review, we further elaborate on commonly used MMM parameters, tools used to measure them, and the indications for monitoring per current consensus guidelines. |
| format | Article |
| id | doaj-art-2f16ee6539e54ebea42209e0c5968673 |
| institution | Kabale University |
| issn | 2090-1305 2090-1313 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Critical Care Research and Practice |
| spelling | doaj-art-2f16ee6539e54ebea42209e0c59686732025-02-03T01:12:08ZengWileyCritical Care Research and Practice2090-13052090-13132017-01-01201710.1155/2017/60972656097265Brain Multimodality Monitoring: A New Tool in Neurocritical Care of Comatose PatientsNudrat Tasneem0Edgar A. Samaniego1Connie Pieper2Enrique C. Leira3Harold P. Adams4David Hasan5Santiago Ortega-Gutierrez6Department of Neurology, Stroke Division, University of Iowa Carver College of Medicine, Iowa City, IA, USADepartment of Neurology, Stroke Division, University of Iowa Carver College of Medicine, Iowa City, IA, USADepartment of Neurology, Stroke Division, University of Iowa Carver College of Medicine, Iowa City, IA, USADepartment of Neurology, Stroke Division, University of Iowa Carver College of Medicine, Iowa City, IA, USADepartment of Neurology, Stroke Division, University of Iowa Carver College of Medicine, Iowa City, IA, USADepartment of Neurosurgery, University of Iowa Carver College of Medicine, Iowa City, IA, USADepartment of Neurology, Stroke Division, University of Iowa Carver College of Medicine, Iowa City, IA, USANeurocritical care patients are at risk of developing secondary brain injury from inflammation, ischemia, and edema that follows the primary insult. Recognizing clinical deterioration due to secondary injury is frequently challenging in comatose patients. Multimodality monitoring (MMM) encompasses various tools to monitor cerebral metabolism, perfusion, and oxygenation aimed at detecting these changes to help modify therapies before irreversible injury sets in. These tools include intracranial pressure (ICP) monitors, transcranial Doppler (TCD), Hemedex™ (thermal diffusion probe used to measure regional cerebral blood flow), microdialysis catheter (used to measure cerebral metabolism), Licox™ (probe used to measure regional brain tissue oxygen tension), and continuous electroencephalography. Although further research is needed to demonstrate their impact on improving clinical outcomes, their contribution to illuminate the black box of the brain in comatose patients is indisputable. In this review, we further elaborate on commonly used MMM parameters, tools used to measure them, and the indications for monitoring per current consensus guidelines.http://dx.doi.org/10.1155/2017/6097265 |
| spellingShingle | Nudrat Tasneem Edgar A. Samaniego Connie Pieper Enrique C. Leira Harold P. Adams David Hasan Santiago Ortega-Gutierrez Brain Multimodality Monitoring: A New Tool in Neurocritical Care of Comatose Patients Critical Care Research and Practice |
| title | Brain Multimodality Monitoring: A New Tool in Neurocritical Care of Comatose Patients |
| title_full | Brain Multimodality Monitoring: A New Tool in Neurocritical Care of Comatose Patients |
| title_fullStr | Brain Multimodality Monitoring: A New Tool in Neurocritical Care of Comatose Patients |
| title_full_unstemmed | Brain Multimodality Monitoring: A New Tool in Neurocritical Care of Comatose Patients |
| title_short | Brain Multimodality Monitoring: A New Tool in Neurocritical Care of Comatose Patients |
| title_sort | brain multimodality monitoring a new tool in neurocritical care of comatose patients |
| url | http://dx.doi.org/10.1155/2017/6097265 |
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