Division of Neurosurgery, Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, 6 Wood Center, Philadelphia, PA, 19104, USA.
Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Neurocrit Care. 2023 Apr;38(2):470-485. doi: 10.1007/s12028-023-01684-7. Epub 2023 Mar 8.
Invasive neuromonitoring has become an important part of pediatric neurocritical care, as neuromonitoring devices provide objective data that can guide patient management in real time. New modalities continue to emerge, allowing clinicians to integrate data that reflect different aspects of cerebral function to optimize patient management. Currently, available common invasive neuromonitoring devices that have been studied in the pediatric population include the intracranial pressure monitor, brain tissue oxygenation monitor, jugular venous oximetry, cerebral microdialysis, and thermal diffusion flowmetry. In this review, we describe these neuromonitoring technologies, including their mechanisms of function, indications for use, advantages and disadvantages, and efficacy, in pediatric neurocritical care settings with respect to patient outcomes.
侵入性神经监测已成为儿科神经危重症护理的重要组成部分，因为神经监测设备提供了客观数据，可以实时指导患者管理。新的模式不断涌现，使临床医生能够整合反映大脑功能不同方面的数据，以优化患者管理。目前，在儿科人群中已经研究过的常见侵入性神经监测设备包括颅内压监测仪、脑组织氧监测仪、颈静脉血氧饱和度监测仪、脑微透析和热扩散流量计。在这篇综述中，我们描述了这些神经监测技术，包括它们在儿科神经危重症护理环境中的作用机制、使用指征、优缺点以及对患者结局的疗效。
