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Published in: Intensive Care Medicine 8/2007

01-08-2007 | Review

Neuromonitoring in the intensive care unit. II. Cerebral oxygenation monitoring and microdialysis

Authors: Anuj Bhatia, Arun Kumar Gupta

Published in: Intensive Care Medicine | Issue 8/2007

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Abstract

Background

Monitoring the injured brain is an integral part of the management of severely brain injured patients in intensive care. There is increasing interest in methods to monitor global and regional cerebral oxygenation. There have been significant advances in analysing tissue oxygenation and local metabolites in the injured brain over the past decade.

Discussion

Cerebral oxygenation can be assessed on a global or regional basis by jugular venous oximetry and near infra-red spectroscopy respectively. Techniques of brain tissue oxygenation monitoring and microdialysis are also covered in this review.

Conclusions

Various modalities are available to monitor oxygenation and the local milieu in the injured brain in the intensive care unit. Use of these modalities helps to optimise brain oxygen delivery and metabolism in patients with acute brain injury.
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Metadata
Title
Neuromonitoring in the intensive care unit. II. Cerebral oxygenation monitoring and microdialysis
Authors
Anuj Bhatia
Arun Kumar Gupta
Publication date
01-08-2007
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 8/2007
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-007-0660-9

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