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Neuromonitoring for Traumatic Brain Injury in Neurosurgical Intensive Care
| Content Provider | SAGE Publishing |
|---|---|
| Author | Lee, Say Kiat June Pheck Suan Goh |
| Copyright Year | 2010 |
| Abstract | The primary aim of neuromonitoring in patients with traumatic brain injury is early detection of secondary brain insults so that timely interventions can be instituted to prevent or treat secondary brain injury. Intracranial pressure monitoring has been a stalwart in neuromonitoring and is still very much the main parameter to guide therapy in brain injured patients in many centres. Cerebral oxygenation is also established as an important parameter for monitoring: global cerebral oxygenation is reliably measured using jugular venous oxygen saturation while brain tissue oxygen tension measurement allows focal brain oxygenation to be monitored. Near-infrared spectroscopy allows a non-invasive option for monitoring of regional cerebral oxygenation. Cerebral microdialysis makes focal measurements of markers of cellular metabolism and cellular injury and death possible, and it is in transition from being a research tool to being an important clinical tool in neuromonitoring. Multimodal monitoring allows different parameters of brain physiology and function to be monitored and can improve identification and prediction of secondary cerebral insults. Multimodal monitoring can potentially improve outcomes in patients with traumatic brain injury by promoting customised treatment strategies for individual patients in place of the commonplace practice of strict adherence to achieving the same standard physiological targets for every patient. |
| Related Links | https://journals.sagepub.com/doi/pdf/10.1177/201010581001900407?download=true |
| Starting Page | 319 |
| Ending Page | 333 |
| Page Count | 15 |
| ISSN | 20101058 |
| Issue Number | 4 |
| Volume Number | 19 |
| Journal | Proceedings of Singapore Healthcare (PSH) |
| e-ISSN | 20592329 |
| DOI | 10.1177/201010581001900407 |
| Language | English |
| Publisher | Sage Publications UK |
| Publisher Date | 2010-12-01 |
| Publisher Place | London |
| Access Restriction | Open |
| Rights Holder | © 2010 SAGE Publications, or Singapore Health Services Pte Ltd |
| Rights License | Llicensed Under Creative Commons Licenses |
| Subject Keyword | brain tissue oxygenation jugular venous oxygen saturation near-infrared spectroscopy intracranial pressure cerebral microdialysis |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine |
