Advanced neuromonitoring techniques for medical and neurological ICU patients
Newly developed neurological complications are not confined to patients admitted to the neurology ICU but also occur in the medical ICU. In addition to patients with traumatic brain injuries, critically ill patients with sepsis, encephalopathy, and post-cardiopulmonary resuscitation are at risk of d...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-10-01
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| Series: | Brain Research Bulletin |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S0361923025003259 |
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| author | Reza Eshraghi Mohammad Sepehr Yazdani Ashkan Bahrami Reza Amani-Beni Bahar Darouei Majid Mokhtari Seyed MohammadReza Hashemian |
| author_facet | Reza Eshraghi Mohammad Sepehr Yazdani Ashkan Bahrami Reza Amani-Beni Bahar Darouei Majid Mokhtari Seyed MohammadReza Hashemian |
| author_sort | Reza Eshraghi |
| collection | DOAJ |
| description | Newly developed neurological complications are not confined to patients admitted to the neurology ICU but also occur in the medical ICU. In addition to patients with traumatic brain injuries, critically ill patients with sepsis, encephalopathy, and post-cardiopulmonary resuscitation are at risk of developing neurological complications. The situation can worsen when patients are sedated and intubated, which prevents the clinical manifestations to be presented. In this regard, non-convulsive seizures and status epilepticus, new onset strokes, and neuromuscular weakness syndromes could be missed which escalates the prognosis. The advancement of neuromonitoring technology enables real-time, multimodal assessments of brain functions, improving the ability of clinicians to detect and preemptively address potential neurological complications. In this study, we reviewed which certain neurological and medical conditions pose a high risk for developing secondary or new-onset neurological complications. Additionally, we reviewed various approaches that can assist in detecting these complications, including automated pupillometry, Bispectral Index monitoring, electroencephalogram, somatosensory evoked potentials monitoring, jugular venous oxygen saturation monitoring, PbO2 monitoring, near-infrared spectroscopy, transcranial Doppler sonography, thermal diffusion flowmetry, cerebral perfusion pressure monitoring, and biomarkers associated with neuronal damage. Last but not least, we reviewed the potential of integrating artificial intelligence in the ICU. |
| format | Article |
| id | doaj-art-c3248ac777fc471db5a71120988ee825 |
| institution | Kabale University |
| issn | 1873-2747 |
| language | English |
| publishDate | 2025-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brain Research Bulletin |
| spelling | doaj-art-c3248ac777fc471db5a71120988ee8252025-08-23T04:47:26ZengElsevierBrain Research Bulletin1873-27472025-10-0123011151310.1016/j.brainresbull.2025.111513Advanced neuromonitoring techniques for medical and neurological ICU patientsReza Eshraghi0Mohammad Sepehr Yazdani1Ashkan Bahrami2Reza Amani-Beni3Bahar Darouei4Majid Mokhtari5Seyed MohammadReza Hashemian6Social Determinants of Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran; Corresponding author.Student Research Committee, Kashan University of Medical Sciences, Kashan, IranClinical Tuberculosis and Epidemiology Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, IranHeart Failure Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, IranAnesthesiology and Critical Care Research Center, Isfahan University of Medical Sciences, Isfahan, IranPulmonary and Critical Care Medicine, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences (SBMU), Tehran, IranClinical Tuberculosis and Epidemiology Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran; Correspondence to: Clinical Tuberculosis and Epidemiology Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran 1983969411, Iran.Newly developed neurological complications are not confined to patients admitted to the neurology ICU but also occur in the medical ICU. In addition to patients with traumatic brain injuries, critically ill patients with sepsis, encephalopathy, and post-cardiopulmonary resuscitation are at risk of developing neurological complications. The situation can worsen when patients are sedated and intubated, which prevents the clinical manifestations to be presented. In this regard, non-convulsive seizures and status epilepticus, new onset strokes, and neuromuscular weakness syndromes could be missed which escalates the prognosis. The advancement of neuromonitoring technology enables real-time, multimodal assessments of brain functions, improving the ability of clinicians to detect and preemptively address potential neurological complications. In this study, we reviewed which certain neurological and medical conditions pose a high risk for developing secondary or new-onset neurological complications. Additionally, we reviewed various approaches that can assist in detecting these complications, including automated pupillometry, Bispectral Index monitoring, electroencephalogram, somatosensory evoked potentials monitoring, jugular venous oxygen saturation monitoring, PbO2 monitoring, near-infrared spectroscopy, transcranial Doppler sonography, thermal diffusion flowmetry, cerebral perfusion pressure monitoring, and biomarkers associated with neuronal damage. Last but not least, we reviewed the potential of integrating artificial intelligence in the ICU.http://www.sciencedirect.com/science/article/pii/S0361923025003259NeuromonitoringIntensive care unitCritical ill patientsArtificial intelligenceMultimodal assessment |
| spellingShingle | Reza Eshraghi Mohammad Sepehr Yazdani Ashkan Bahrami Reza Amani-Beni Bahar Darouei Majid Mokhtari Seyed MohammadReza Hashemian Advanced neuromonitoring techniques for medical and neurological ICU patients Brain Research Bulletin Neuromonitoring Intensive care unit Critical ill patients Artificial intelligence Multimodal assessment |
| title | Advanced neuromonitoring techniques for medical and neurological ICU patients |
| title_full | Advanced neuromonitoring techniques for medical and neurological ICU patients |
| title_fullStr | Advanced neuromonitoring techniques for medical and neurological ICU patients |
| title_full_unstemmed | Advanced neuromonitoring techniques for medical and neurological ICU patients |
| title_short | Advanced neuromonitoring techniques for medical and neurological ICU patients |
| title_sort | advanced neuromonitoring techniques for medical and neurological icu patients |
| topic | Neuromonitoring Intensive care unit Critical ill patients Artificial intelligence Multimodal assessment |
| url | http://www.sciencedirect.com/science/article/pii/S0361923025003259 |
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