From the National Hospital for Neurology and Neurosurgery, University College London Hospitals, Queen Square, London, United Kingdom.
Anesthesiology. 2018 Feb;128(2):401-415. doi: 10.1097/ALN.0000000000001885.
Neuromonitoring plays an important role in the management of traumatic brain injury. Simultaneous assessment of cerebral hemodynamics, oxygenation, and metabolism allows an individualized approach to patient management in which therapeutic interventions intended to prevent or minimize secondary brain injury are guided by monitored changes in physiologic variables rather than generic thresholds. This narrative review describes various neuromonitoring techniques that can be used to guide the management of patients with traumatic brain injury and examines the latest evidence and expert consensus guidelines for neuromonitoring.
神经监测在创伤性脑损伤的管理中起着重要作用。同时评估脑血流动力学、氧合和代谢,使我们能够对患者进行个体化管理,通过监测生理变量的变化来指导旨在预防或最小化继发性脑损伤的治疗干预,而不是使用通用的阈值。本文描述了可用于指导创伤性脑损伤患者管理的各种神经监测技术,并探讨了神经监测的最新证据和专家共识指南。