Hwang In Sung, Shin Yong-Won, Ha Eun Jin
Department of Critical Care Medicine, Seoul National University Hospital, Seoul, Korea.
Korean J Neurotrauma. 2025 Jul 28;21(3):163-171. doi: 10.13004/kjnt.2025.21.e26. eCollection 2025 Jul.
Acute brain injury (ABI) remains a leading cause of morbidity and mortality worldwide. Secondary brain injury, a key modifiable determinant of neurological outcome, arises not only from elevated intracranial pressure but also from impaired cerebral oxygenation and metabolism. As a result, comprehensive monitoring strategies have gained increasing attention. This review outlines current trends in the monitoring of brain oxygenation and metabolism in ABI, covering both invasive and non-invasive modalities, and highlights key clinical milestones.
急性脑损伤(ABI)仍是全球发病和死亡的主要原因。继发性脑损伤是神经功能预后的一个关键可调节决定因素,不仅源于颅内压升高,还源于脑氧合和代谢受损。因此,综合监测策略越来越受到关注。本综述概述了ABI脑氧合和代谢监测的当前趋势,涵盖侵入性和非侵入性方法,并突出了关键的临床里程碑。