Advances in cerebral monitoring for the patient with traumatic brain injury

Zakraus Mahdavi; Naregnia Pierre-Louis; Thuy-Tien Ho; Stephen A Figueroa; DaiWai M Olson

doi:10.1016/j.cnc.2015.02.002

Advances in cerebral monitoring for the patient with traumatic brain injury

Crit Care Nurs Clin North Am. 2015 Jun;27(2):213-23. doi: 10.1016/j.cnc.2015.02.002. Epub 2015 Mar 12.

Authors

Zakraus Mahdavi¹, Naregnia Pierre-Louis¹, Thuy-Tien Ho¹, Stephen A Figueroa¹, DaiWai M Olson²

Affiliations

¹ Department of Neurology and Neurotherapeutics, UT Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390, USA.
² Department of Neurology and Neurotherapeutics, UT Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390, USA. Electronic address: Daiwai.Olson@utsouthwestern.edu.

PMID: 25981724
DOI: 10.1016/j.cnc.2015.02.002

Abstract

A brief overview of the most common invasive and noninvasive monitoring tools collectively referred to using the term "multimodal monitoring" is provided. Caring for the critically ill patient with traumatic brain injury requires careful monitoring to prevent or reduce secondary brain injury. Concurrent to the growth of the subspecialty of neurocritical care, there has been a concerted effort to discover novel mechanisms to monitor the physiology of brain injury. The past 2 decades have witnessed an exponential growth in neurologic monitoring in terms of intracranial pressure, blood flow, metabolism, oxygenation, advanced neuroimaging, and electrophysiology.

Keywords: Intensive care; Multimodal monitoring; Neurocritical care; Nursing; Traumatic brain injury.

Publication types

Review

MeSH terms

Brain Injuries, Traumatic / diagnosis
Brain Injuries, Traumatic / physiopathology*
Brain Injuries, Traumatic / therapy
Critical Care / methods*
Humans
Intensive Care Units
Intracranial Pressure / physiology
Monitoring, Physiologic / methods*