Methods of monitoring brain oxygenation.

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Ursula K Rohlwink, Anthony A Figaji

Abstract

Posttraumatic brain ischemia or hypoxia is a major potential cause of secondary injury that may lead to poor outcome. Avoidance, or amelioration, of this secondary injury depends on early diagnosis and intervention before permanent injury occurs. However, tools to monitor brain oxygenation continuously in the neuro-intensive care unit have been lacking. In recent times, methods of monitoring aspects of brain oxygenation continuously by the bedside have been evaluated in several experimental and clinical series and are potentially changing the way we manage head-injured patients. These monitors have the potential to alert the clinician to possible secondary injury and enable intervention, help interpret pathophysiological changes (e.g., hyperemia causing raised intracranial pressure), monitor interventions (e.g., hyperventilation for increased intracranial pressure), and prognosticate. This review focuses on jugular venous saturation, brain tissue oxygen tension, and near-infrared spectroscopy as practical methods that may have an important role in managing patients with brain injury, with a particular focus on the available evidence in children. However, to use these monitors effectively and to understand the studies in which t...Continue Reading

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Citations

Jun 17, 2014·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Khalil M YousefPaula R Sherwood
Oct 29, 2011·Neurologic Clinics·Sandrine de Ribaupierre
Sep 5, 2015·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·L E Schrieff-ElsonA A Figaji
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Aug 16, 2017·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Anthony A FigajiUrsula K Rohlwink
Sep 16, 2020·Analytical Methods : Advancing Methods and Applications·Gama Theophile GnahoréJohn P Lowry
Jul 5, 2017·Frontiers in Neurology·Carl-Henrik NordströmMagnus Olivecrona
Feb 16, 2021·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Nqobile S ThangoAnthony A Figaji

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