Clinical review: Neuromonitoring - an update

Nino Stocchetti, Peter L. Roux, Paul Vespa, Mauro Oddo, Giuseppe Citerio, Peter J. Andrews, Robert D. Stevens, Tarek Sharshar, Fabio S. Taccone, Jean Louis Vincent

Research output: Contribution to journalReview article

Abstract

Critically ill patients are frequently at risk of neurological dysfunction as a result of primary neurological conditions or secondary insults. Determining which aspects of brain function are affected and how best to manage the neurological dysfunction can often be difficult and is complicated by the limited information that can be gained from clinical examination in such patients and the effects of therapies, notably sedation, on neurological function. Methods to measure and monitor brain function have evolved considerably in recent years and now play an important role in the evaluation and management of patients with brain injury. Importantly, no single technique is ideal for all patients and different variables will need to be monitored in different patients; in many patients, a combination of monitoring techniques will be needed. Although clinical studies support the physiologic feasibility and biologic plausibility of management based on information from various monitors, data supporting this concept from randomized trials are still required.

Original languageEnglish (US)
Article number201
JournalCritical Care
Volume17
Issue number1
DOIs
StatePublished - Jan 15 2013

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

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    Stocchetti, N., Roux, P. L., Vespa, P., Oddo, M., Citerio, G., Andrews, P. J., Stevens, R. D., Sharshar, T., Taccone, F. S., & Vincent, J. L. (2013). Clinical review: Neuromonitoring - an update. Critical Care, 17(1), [201]. https://doi.org/10.1186/cc11513