Smith, ME;
Smith, M;
(2017)
Neuromonitoring.
Anaesthesia & Intensive Care Medicine
, 18
(5)
pp. 224-229.
10.1016/j.mpaic.2017.02.009.
Preview |
Text
Neuromonitoring - Anaesthesia & Intensive Care Medicine 2017.pdf - Accepted Version Download (355kB) | Preview |
Abstract
Management of acute brain injury is based on a central concept that prevention of secondary hypoxic/ischaemic injury is associated with improved outcomes. While clinical assessment of neurological state remains fundamental to neuromonitoring, several techniques are available for global and regional brain monitoring that provide assessment of cerebral perfusion, oxygenation and metabolic status, and early warning of impending brain hypoxia/ischaemia. Developments in multimodality monitoring have enabled an individually tailored approach to patient management in which treatment decisions are guided by monitored changes in physiological variables rather than pre-defined, generic thresholds. Any impact of monitor-guided therapy on outcomes is entirely dependent on the threshold to initiative intervention and subsequent management in response to change in a particular monitored variable, and these remain undefined in many circumstances. This review describes current neuromonitoring techniques used during the critical care management of acute brain injury.
| Type: | Article |
|---|---|
| Title: | Neuromonitoring |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.mpaic.2017.02.009 |
| Publisher version: | https://doi.org/10.1016/j.mpaic.2017.02.009 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Cerebral autoregulation, cerebral microdialysis, cerebral oxygenation, electroencephalography, intracranial pressure, multimodal neuromonitoring, near infrared spectroscopy, neurointensive care |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > UCL BEAMS UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Med Phys and Biomedical Eng |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10086199 |
Loading...
Loading...Loading...Loading...Archive Staff Only
 |
View Item |
