Integrated multimodality monitoring in the neurosurgical intensive care unit

The selection of variables for continuous monitoring in the neurosurgical intensive care unit is based upon the requirement for constant perfusion and oxygenation of the brain and knowledge of the frequency and prognostic significance of abnormal values. Both arterial and intracranial pressure must...

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Bibliographic Details
Published inNeurosurgery clinics of North America Vol. 5; no. 4; p. 661
Main Authors Miller, J D, Piper, I R, Jones, P A
Format Journal Article
LanguageEnglish
Published United States 01.10.1994
Subjects
Adult
Brain - physiopathology
Brain Damage, Chronic - physiopathology
Brain Diseases - physiopathology
Brain Diseases - surgery
Brain Injuries - physiopathology
Brain Injuries - surgery
Brain Ischemia - physiopathology
Cerebral Infarction - physiopathology
Critical Care
Diagnostic Imaging
Humans
Intracranial Pressure - physiology
Microcomputers
Monitoring, Physiologic - instrumentation
Postoperative Complications - physiopathology
Signal Processing, Computer-Assisted - instrumentation
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Summary:The selection of variables for continuous monitoring in the neurosurgical intensive care unit is based upon the requirement for constant perfusion and oxygenation of the brain and knowledge of the frequency and prognostic significance of abnormal values. Both arterial and intracranial pressure must be considered in the form of cerebral perfusion pressure. Body temperature and arterial oxygen saturation are essential to monitoring. Measurement of jugular venous oxygen saturation and cerebral blood flow velocity provide information of value in determining the source of raised intracranial pressure, the most appropriate means of treating it, and the safety of therapy.
ISSN:1042-3680
DOI:10.1016/S1042-3680(18)30493-5