Neuromonitoring after major neurosurgical procedures.

Détails

ID Serval
serval:BIB_B0C384897013
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Neuromonitoring after major neurosurgical procedures.
Périodique
Minerva Anestesiologica
Auteur(s)
Messerer M., Daniel R.T., Oddo M.
ISSN
1827-1596 (Electronic)
ISSN-L
0375-9393
Statut éditorial
Publié
Date de publication
2012
Peer-reviewed
Oui
Volume
78
Numéro
7
Pages
810-822
Langue
anglais
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Résumé
Postoperative care of major neurosurgical procedures is aimed at the prevention, detection and treatment of secondary brain injury. This consists of a series of pathological events (i.e. brain edema and intracranial hypertension, cerebral hypoxia/ischemia, brain energy dysfunction, non-convulsive seizures) that occur early after the initial insult and surgical intervention and may add further burden to primary brain injury and thus impact functional recovery. Management of secondary brain injury requires specialized neuroscience intensive care units (ICU) and continuous advanced monitoring of brain physiology. Monitoring of intracranial pressure (ICP) is a mainstay of care and is recommended by international guidelines. However, ICP monitoring alone may be insufficient to detect all episodes of secondary brain insults. Additional invasive (i.e. brain tissue PO2, cerebral microdialysis, regional cerebral blood flow) and non-invasive (i.e. transcranial doppler, near-infrared spectroscopy, EEG) brain monitoring devices might complement ICP monitoring and help clinicians to target therapeutic interventions (e.g. management of cerebral perfusion pressure, blood transfusion, glucose control) to patient-specific pathophysiology. Several independent studies demonstrate such multimodal approach may optimize patient care after major neurosurgical procedures. The aim of this review is to evaluate some of the available monitoring systems and summarize recent important data showing the clinical utility of multimodal neuromonitoring for the management of main acute neurosurgical conditions, including traumatic brain injury, subarachnoid hemorrhage and stroke.
Mots-clé
Brain Chemistry, Cerebrovascular Circulation/physiology, Electroencephalography, Humans, Intracranial Pressure/physiology, Jugular Veins/physiology, Microdialysis, Monitoring, Physiologic/methods, Nervous System Physiological Processes/physiology, Neurosurgical Procedures/methods, Oximetry, Oxygen/blood, Recovery of Function
Pubmed
Web of science
Création de la notice
17/09/2012 14:37
Dernière modification de la notice
20/08/2019 15:19
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