Domínguez-Berrot A M, González-Vaquero M, Díaz-Domínguez F J, Robla-Costales J
Centro Asistencial Universitario, León, España.
Centro Asistencial Universitario, León, España.
Med Intensiva. 2014 Nov;38(8):513-21. doi: 10.1016/j.medin.2014.02.005. Epub 2014 May 1.
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.
对神经危重症患者进行全面监测的主要目标是避免继发性损伤。在过去几年中,我们见证了脑部监测工具的增加,这超出了对颅内压和脑灌注压的检测。这些广泛使用的系统提供了有价值但可能并不充分的信息。认识并纠正脑缺氧不仅对于诊断,而且在决定治疗方案以及预测预后方面都是一项有用且有趣的措施。在这种情况下,将从脑氧合监测系统收集的所有信息与其他可用的多模态监测设备结合使用,以便为每位患者提供个性化治疗,将非常有意义。