Department of Pediatrics, Far Eastern Memorial Hospital, New Taipei City, Taiwan; Department of Chemical Engineering and Materials Science, Yuan Ze University, Taoyuan, Taiwan.
Biomed J. 2020 Jun;43(3):226-230. doi: 10.1016/j.bj.2020.05.005. Epub 2020 May 28.
Neurocritical monitoring is important in caring for patients in the neurological intensive care unit. Although clinical neurologic examination is standard for neurocritical monitoring, changes found during the examination are often late signs and insufficient to detect and prevent secondary brain injury. Therefore, various neuromonitoring tools have been developed to monitor different physiologic parameters, such as cerebral oxygenation, cerebral blood flow, cerebral pressure, cerebral autoregulation, cerebral electric activity, and cerebral metabolism. In this review, we have discussed current commonly used neurocritical monitoring tools. No single monitor is sufficient and perfect for neurocritical monitoring. Multimodal neurocritical monitoring is the current trend. However, the lack of common formatting standards and uncertainty of improvement in patients' outcomes warrant further studies of multimodal neurocritical monitoring. Nevertheless, multimodal neurocritical monitoring considers individual pathophysiological variations in patients or their injuries and allows clinicians to tailor individualized management decisions.
神经重症监护中的神经监测很重要。尽管临床神经系统检查是神经重症监测的标准方法，但检查中发现的变化通常是晚期征象，不足以发现和预防继发性脑损伤。因此，已经开发了各种神经监测工具来监测不同的生理参数，例如脑氧合、脑血流、脑压、脑自动调节、脑电活动和脑代谢。在这篇综述中，我们讨论了当前常用的神经重症监护监测工具。没有单一的监测器对于神经重症监护来说是足够和完美的。多模态神经重症监护是当前的趋势。然而，缺乏通用的格式化标准和对患者预后改善的不确定性需要进一步研究多模态神经重症监护。尽管如此，多模态神经重症监护考虑了患者或其损伤的个体病理生理变化，并允许临床医生针对个体化管理决策。
