[Multimodal neuromonitoring in traumatic brain injury: contribution of PTiO2]

Med Intensiva. 2014 Nov;38(8):513-21. doi: 10.1016/j.medin.2014.02.005. Epub 2014 May 1.
[Article in Spanish]

Abstract

The main goal of exhaustively monitoring neurocritical patients is to avoid secondary injury. In the last few years we have witnessed an increase in brain monitoring tools, beyond the checking of intracranial and brain perfusion pressures. These widely used systems offer valuable but possibly insufficient information. Awareness and correction of brain hypoxia is a useful and interesting measure, not only for diagnostic purposes but also when deciding treatment, and to predict an outcome. In this context, it would be of great interest to use all the information gathered from brain oxygenation monitoring systems in conjunction with other available multimodal monitoring devices, in order to offer individualized treatment for each patient.

Keywords: Brain tissue oxygen pressure; Cerebral hypoxia: Brain oxygenation; Hipoxia cerebral; Lesión secundaria; Monitorización multimodal; Multimodality monitoring; Neuromonitoring; Neuromonitorización; Oxigenación cerebral; Presión tisular cerebral de oxígeno; Secondary insult; Traumatic brain injury; Traumatismo craneoencefálico.

Publication types

  • Review

MeSH terms

  • Anemia / complications
  • Anemia / therapy
  • Blood Component Transfusion
  • Brain Injuries, Traumatic
  • Critical Care
  • Extracellular Space / chemistry
  • Humans
  • Hypoxia, Brain / diagnosis*
  • Hypoxia, Brain / etiology
  • Hypoxia, Brain / therapy
  • Hypoxia-Ischemia, Brain / diagnosis
  • Hypoxia-Ischemia, Brain / therapy
  • Monitoring, Physiologic / methods*
  • Oxygen / analysis*
  • Oxygen Inhalation Therapy
  • Partial Pressure
  • Randomized Controlled Trials as Topic
  • Vasoconstriction

Substances

  • Oxygen