Multimodal monitoring in neurointensive care.

Recommendations for the use of multimodal monitoring in the neurointensive care unit.

PURPOSE OF REVIEW Multimodal monitoring (MMM) is routinely applied in neurointensive care. Unfortunately, there is no robust evidence on which MMM-derived physiologic variables are the most clinically relevant, how and when they should be monitored, and whether MMM impacts outcome. The complexity is even higher because once the data are continuously collected, interpretation and integration of ...

Neurochemical Monitoring in the Injured Brain MICRODIALYSIS in Neurointensive Care

Glucose and the Injured Brain-Monitored in the Neurointensive Care Unit

Brain has a continuous demand for energy that is met by oxidative metabolism of oxygen and glucose. This demand is compromised in the injured brain and if the inadequate supply persists it will lead to permanent tissue damage. Zero values of cerebral glucose have been associated with infarction and poor neurological outcome. Furthermore, hyperglycemia is common in patients with neurological ins...

Advances in neurointensive care.

PURPOSE To highlight recent advances in neurological and neurosurgical intensive care. DATA SOURCES A MEDLINE search was conducted from January 1980 to August 2000. Keywords included intensive care, head injury, subarachnoid haemorrhage, status epilepticus, myasthenic crisis, Guillain-Barre syndrome and stroke. All articles in English were considered for review. Additional articles were ident...

Continuous jugular venous oximetry in the neurointensive care unit--a brief review.

PURPOSE To describe the technique of continuous jugular venous oxygen saturation (SjVO(2)) monitoring and review its applications in the neurointensive care unit (NICU), with special reference to the management of raised intracranial pressure (ICP) following severe acute brain injury. SOURCE This narrative review is based on a selection of current literature on SjVO(2) monitoring in conjuncti...