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...

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Main Authors: Andrius Macas, Diana Bilskienė, Aleksandr Gembickij, Ainius Žarskus, Marius Rimaitis, Alina Vilkė, Ilona Šuškevičienė, Danguolė Rugytė, Arimantas Tamašauskas
Format: Article
Language:English
Published: Vilnius University Press 2012-10-01
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.
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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