Multimodal neuromonitoring
The goal of the intensive care management of a neurosurgical patient is to preserve adequate cerebral perfusion, oxygenation and metabolism in order to prevent secondary neurological injury. In preventing secondary neurological insults interventions must be started early. For many years conventional...
Main Authors: | , , , , , , , , |
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Format: | Article |
Language: | English |
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Vilnius University Press
2012-10-01
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Series: | Acta Medica Lituanica |
Subjects: | |
Online Access: | https://www.journals.vu.lt/AML/article/view/21545 |
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author | Andrius Macas Diana Bilskienė Aleksandr Gembickij Ainius Žarskus Marius Rimaitis Alina Vilkė Ilona Šuškevičienė Danguolė Rugytė Arimantas Tamašauskas |
author_facet | Andrius Macas Diana Bilskienė Aleksandr Gembickij Ainius Žarskus Marius Rimaitis Alina Vilkė Ilona Šuškevičienė Danguolė Rugytė Arimantas Tamašauskas |
author_sort | Andrius Macas |
collection | DOAJ |
description | The goal of the intensive care management of a neurosurgical patient is to preserve adequate cerebral perfusion, oxygenation and metabolism in order to prevent secondary neurological injury. In preventing secondary neurological insults interventions must be started early. For many years conventional methods of neuromonitoring have proved their efficacy. However, their sensitivity in detecting subtle metabolic derangements in the real time manner is low and the valuable time for the appropriate treatment is lost. In recent years, there are numerous study data suggesting that implying of advanced neuromonitoring techniques can improve outcomes. Moreover, it helps to guide goal-directed therapy. Although data on advanced neuromonitoring are preliminary and mostly observational, the number of modern neurosurgical centers applying it as a standard is high. With the increasing technical possibilities, the concept of multimodal neuromonitoring is of increasing popularity. Multimodal neuromonitoring allows continuous real time assessment of cerebral perfusion, oxygenation, metabolism and global function which makes it attractive and promising in clinical practice. |
first_indexed | 2024-12-13T14:47:52Z |
format | Article |
id | doaj.art-3e801f837da5409ab19b2499bf9cd8f5 |
institution | Directory Open Access Journal |
issn | 1392-0138 2029-4174 |
language | English |
last_indexed | 2024-12-13T14:47:52Z |
publishDate | 2012-10-01 |
publisher | Vilnius University Press |
record_format | Article |
series | Acta Medica Lituanica |
spelling | doaj.art-3e801f837da5409ab19b2499bf9cd8f52022-12-21T23:41:25ZengVilnius University PressActa Medica Lituanica1392-01382029-41742012-10-0119310.6001/actamedica.v19i3.2445Multimodal neuromonitoringAndrius MacasDiana BilskienėAleksandr GembickijAinius ŽarskusMarius RimaitisAlina VilkėIlona ŠuškevičienėDanguolė RugytėArimantas TamašauskasThe goal of the intensive care management of a neurosurgical patient is to preserve adequate cerebral perfusion, oxygenation and metabolism in order to prevent secondary neurological injury. In preventing secondary neurological insults interventions must be started early. For many years conventional methods of neuromonitoring have proved their efficacy. However, their sensitivity in detecting subtle metabolic derangements in the real time manner is low and the valuable time for the appropriate treatment is lost. In recent years, there are numerous study data suggesting that implying of advanced neuromonitoring techniques can improve outcomes. Moreover, it helps to guide goal-directed therapy. Although data on advanced neuromonitoring are preliminary and mostly observational, the number of modern neurosurgical centers applying it as a standard is high. With the increasing technical possibilities, the concept of multimodal neuromonitoring is of increasing popularity. Multimodal neuromonitoring allows continuous real time assessment of cerebral perfusion, oxygenation, metabolism and global function which makes it attractive and promising in clinical practice.https://www.journals.vu.lt/AML/article/view/21545neuromonitoringmultimodaltraumatic brain injuryce rebral metabolism |
spellingShingle | Andrius Macas Diana Bilskienė Aleksandr Gembickij Ainius Žarskus Marius Rimaitis Alina Vilkė Ilona Šuškevičienė Danguolė Rugytė Arimantas Tamašauskas Multimodal neuromonitoring Acta Medica Lituanica neuromonitoring multimodal traumatic brain injury ce rebral metabolism |
title | Multimodal neuromonitoring |
title_full | Multimodal neuromonitoring |
title_fullStr | Multimodal neuromonitoring |
title_full_unstemmed | Multimodal neuromonitoring |
title_short | Multimodal neuromonitoring |
title_sort | multimodal neuromonitoring |
topic | neuromonitoring multimodal traumatic brain injury ce rebral metabolism |
url | https://www.journals.vu.lt/AML/article/view/21545 |
work_keys_str_mv | AT andriusmacas multimodalneuromonitoring AT dianabilskiene multimodalneuromonitoring AT aleksandrgembickij multimodalneuromonitoring AT ainiuszarskus multimodalneuromonitoring AT mariusrimaitis multimodalneuromonitoring AT alinavilke multimodalneuromonitoring AT ilonasuskeviciene multimodalneuromonitoring AT danguolerugyte multimodalneuromonitoring AT arimantastamasauskas multimodalneuromonitoring |