Monitoring of brain and systemic oxygenation in neurocritical care patients.

Details

Serval ID
serval:BIB_8E2F29222D09
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Monitoring of brain and systemic oxygenation in neurocritical care patients.
Journal
Neurocritical Care
Author(s)
Oddo M., Bösel J.
Working group(s)
Participants in the International Multidisciplinary Consensus Conference on Multimodality Monitoring
ISSN
1556-0961 (Electronic)
ISSN-L
1541-6933
Publication state
Published
Issued date
2014
Peer-reviewed
Oui
Volume
21
Number
Suppl 2
Pages
103-120
Language
english
Notes
Publication types: Journal Article Publication Status: ppublish
Abstract
Maintenance of adequate oxygenation is a mainstay of intensive care, however, recommendations on the safety, accuracy, and the potential clinical utility of invasive and non-invasive tools to monitor brain and systemic oxygenation in neurocritical care are lacking. A literature search was conducted for English language articles describing bedside brain and systemic oxygen monitoring in neurocritical care patients from 1980 to August 2013. Imaging techniques e.g., PET are not considered. A total of 281 studies were included, the majority described patients with traumatic brain injury (TBI). All tools for oxygen monitoring are safe. Parenchymal brain oxygen (PbtO2) monitoring is accurate to detect brain hypoxia, and it is recommended to titrate individual targets of cerebral perfusion pressure (CPP), ventilator parameters (PaCO2, PaO2), and transfusion, and to manage intracranial hypertension, in combination with ICP monitoring. SjvO2 is less accurate than PbtO2. Given limited data, NIRS is not recommended at present for adult patients who require neurocritical care. Systemic monitoring of oxygen (PaO2, SaO2, SpO2) and CO2 (PaCO2, end-tidal CO2) is recommended in patients who require neurocritical care.
Pubmed
Web of science
Create date
18/04/2015 13:43
Last modification date
20/08/2019 15:52
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