Practical aspects of bedside cerebral hemodynamics monitoring in pediatric TBI.

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

Abstract

Disturbances in cerebral hemodynamics may have a profound influence on secondary injury after traumatic brain injury (TBI), and many therapies in the neurocritical care unit may adversely affect cerebral blood flow. However, the clinician is often unaware of this when it occurs because practical methods for monitoring cerebral hemodynamics by the bedside have been lacking. Current imaging studies only provide a snapshot of the brain at one point in time, giving limited information about a dynamic condition. This review will focus on key pathophysiological concepts required to understand changes in cerebral hemodynamics after TBI and the principles, potential benefits, and limitations of currently available bedside monitoring techniques, including transcranial Doppler, autoregulation, and local/regional cerebral blood flow.

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Citations

Nov 10, 2013·Annales Françaises D'anesthèsie Et De Rèanimation·C VuillaumeT Geeraerts
May 6, 2011·Pediatric Radiology·Suzanne Verlhac
Oct 1, 2019·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Kerri L LaRovereUNKNOWN Pediatric Neurocritical Care Research Group (PNCRG)
Aug 16, 2017·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Anthony A FigajiUrsula K Rohlwink
Jun 19, 2012·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Llewellyn C PadayachyAnthony A Figaji

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brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.