Department of Neurology, Division of Neurocritical Care, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02493, USA; Department of Neurology, Division of Neurocritical Care, Brigham and Women's Hospital, 55 Fruit Street, Boston, MA 02493, USA.
Department of Neurology, Division of Neurocritical Care, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02493, USA; Department of Neurology, Division of Clinical Neurophysiology, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02493, USA.
Crit Care Clin. 2023 Jan;39(1):221-233. doi: 10.1016/j.ccc.2022.06.006. Epub 2022 Sep 29.
Neurocritical care management of acute brain injury (ABI) is focused on identification, prevention, and management of secondary brain injury (SBI). Physiologic monitoring of the brain and other organ systems has a role to predict patient recovery or deterioration, guide individualized therapeutic interventions, and measure response to treatment, with the goal of improving patient outcomes. In this review, we detail how specific physiologic markers of brain injury and neuromonitoring tools are integrated and used in ABI patients to develop therapeutic approaches to prevent SBI.
神经危重症管理的重点是急性脑损伤(ABI)的识别、预防和继发性脑损伤(SBI)的管理。脑和其他器官系统的生理监测在预测患者的恢复或恶化、指导个体化治疗干预以及评估治疗反应方面发挥作用,目标是改善患者的预后。在这篇综述中,我们详细介绍了特定的脑损伤生理标志物和神经监测工具如何整合并用于 ABI 患者,以制定预防 SBI 的治疗方法。