Advances in Neuro-monitoring

Overview

Journal Anesth Essays Res

Specialty Anesthesiology

Date 2015 Apr 18

PMID 25885975

Citations 5

Authors

Charu Mahajan

Girija Prasad Rath

Parmod Kumar Bithal

Affiliations

Soon will be listed here.

Abstract

Neuromonitoring aims to detect harmful physiologic events, early enough to guide the treatment instituted. Evidences encourage us to implement multimodal monitoring, as no single monitor is capable of providing a complete picture of dynamic cerebral state. This review highlights the role of intracranial pressure monitoring, cerebral oxygenation (jugular venous oximetry, brain tissue oxygenation, near infrared oximetry, cerebral microdialysis) and cerebral blood flow monitoring (direct and indirect methods) in the management of neurologically injured patients. In this context, the recent developments of these monitors along with the relevant clinical implications have been discussed. Nevertheless, the diverse range of data obtained from these monitors needs to be integrated and simplified for the clinician. Hence, the future research should focus on identification of a most useful monitor for integration into multimodal system.

Citing Articles

Detection and Analysis of Perfusion Pressure through Measuring Oxygen Saturation and Requirement of Dural Incision Decompression after Laminectomy.

Alshorman J, Wang Y, Huang G, Boakye Serebour T, Guo X Comput Intell Neurosci. 2021; 2021:8560668.

PMID: 34912448 PMC: 8668361. DOI: 10.1155/2021/8560668.

Choosing Neuroanaesthesia as a career: Marching towards new horizons.

Khandelwal A, Jangra K, Katikar M, Durga P, Maheswara Rao G Indian J Anaesth. 2021; 65(1):35-42.

PMID: 33767501 PMC: 7980245. DOI: 10.4103/ija.IJA_1531_20.

Current Status and Recommendations in Multimodal Neuromonitoring.

Ruhatiya R, Adukia S, Manjunath R, Maheshwarappa H Indian J Crit Care Med. 2020; 24(5):353-360.

PMID: 32728329 PMC: 7358870. DOI: 10.5005/jp-journals-10071-23431.

Intracranial Pressure Monitoring as a Part of Multimodal Monitoring Management of Patients with Critical Polytrauma: Correlation between Optimised Intensive Therapy According to Intracranial Pressure Parameters and Clinical Picture.

Luca L, Rogobete A, Bedreag O, Sarandan M, Cradigati C, Papurica M Turk J Anaesthesiol Reanim. 2016; 43(6):412-7.

PMID: 27366538 PMC: 4894185. DOI: 10.5152/TJAR.2015.56933.

Effect of propofol and remifentanil on cerebral perfusion and oxygenation in pigs: a systematic review.

Mikkelsen M, Ambrus R, Miles J, Poulsen H, Moltke F, Eriksen T Acta Vet Scand. 2016; 58(1):42.

PMID: 27334375 PMC: 4917978. DOI: 10.1186/s13028-016-0223-6.

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