Multimodal monitoring in the pediatric intensive care unit: new modalities and informatics challenges

Seminars in Pediatric Neurology
Zachary M GrinspanBarry E Kosofsky

Abstract

We review several newer modalities to monitor the brain in children with acute neurologic disease in the pediatric intensive care unit, such as partial brain tissue oxygen tension (PbtO2), jugular venous oxygen saturation (SjvO2), near infrared spectroscopy (NIRS), thermal diffusion measurement of cerebral blood flow, cerebral microdialysis, and EEG. We then discuss the informatics challenges to acquire, consolidate, analyze, and display the data. Acquisition includes multiple data types: discrete, waveform, and continuous. Consolidation requires device interoperability and time synchronization. Analysis could include pressure reactivity index and quantitative EEG. Displays should communicate the patient's current status, longitudinal and trend information, and critical alarms.

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Aug 4, 2018·Critical Care : the Official Journal of the Critical Care Forum·Eric AzabouTarek Sharshar
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Jun 17, 2016·Anesthesia and Analgesia·Philip BicklerLingzhong Meng
Jul 4, 2021·Neurologic Clinics·James J Riviello, Jennifer Erklauer

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