Regional Brain Monitoring in the Neurocritical Care Unit

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• 作者：Jennifer Frontera ; Wendy Ziai ; Kristine O’Phelan ; Peter D. Leroux…
• 关键词：Neuromonitoring ; Neurocritical care ; Microdialysis ; Brain tissue oxygenation ; Cerebral blood flow
• 刊名：Neurocritical Care
• 出版年：2015
• 出版时间：June 2015
• 年：2015
• 卷：22
• 期：3
• 页码：348-359
• 全文大小：511 KB
• 参考文献：1.Tossman U, Ungerstedt U. Microdialysis in the study of extracellular levels of amino acids in the rat brain. Acta Physiol Scand. 1986;128(1):9-4.View Article PubMed
  2.Tossman U, Segovia J, Ungerstedt U. Extracellular levels of amino acids in striatum and globus pallidus of 6-hydroxydopamine-lesioned rats measured with microdialysis. Acta Physiol Scand. 1986;127(4):547-1.View Article PubMed
  3.Tossman U, Wieloch T, Ungerstedt U. Gamma-Aminobutyric acid and taurine release in the striatum of the rat during hypoglycemic coma, studied by microdialysis. Neurosci Lett. 1985;62(2):231-.View Article PubMed
  4.Meyerson BA, Linderoth B, Karlsson H, Ungerstedt U. Microdialysis in the human brain: extracellular measurements in the thalamus of parkinsonian patients. Life Sci. 1990;46(4):301-.View Article PubMed
  5.Hillered L, Persson L, Ponten U, Ungerstedt U. Neurometabolic monitoring of the ischemic human brain using microdialysis. Acta Neurochir (Wien). 1990;102(3-):91-.View Article
  6.Reinstrup P, Stahl N, Mellergard P, Uski T, Ungerstedt U, Nordstrom CH. Intracerebral microdialysis in clinical practice: baseline values for chemical markers during wakefulness, anesthesia, and neurosurgery. Neurosurgery. 2000;47(3):701-.PubMed
  7.Enblad P, Valtysson J, Andersson J, Lilja A, Valind S, Antoni G, et al. Simultaneous intracerebral microdialysis and positron emission tomography in the detection of ischemia in patients with subarachnoid hemorrhage. J Cereb Blood Flow Metab. 1996;16(4):637-4.View Article PubMed
  8.Frykholm P, Hillered L, Langstrom B, Persson L, Valtysson J, Watanabe Y, et al. Increase of interstitial glycerol reflects the degree of ischemic brain damage: a PET and microdialysis study in a middle cerebral artery occlusion-reperfusion primate model. J Neurol Neurosur Psychiatry. 2001;71(4):455-1.View Article
  9.Robertson CS, Gopinath SP, Uzura M, Valadka AB, Goodman JC. Metabolic changes in the brain during transient ischemia measured with microdialysis. Neurol Res. 1998;20(Suppl 1):S91-.PubMed
  10.Kawamata T, Katayama Y, Hovda DA, Yoshino A, Becker DP. Administration of excitatory amino acid antagonists via microdialysis attenuates the increase in glucose utilization seen following concussive brain injury. J Cereb Blood Flow Metab. 1992;12(1):12-4.View Article PubMed
  11.Bergsneider M, Hovda DA, McArthur DL, Etchepare M, Huang SC, Sehati N, et al. Metabolic recovery following human traumatic brain injury based on FDG-PET: time course and relationship to neurological disability. J Head Trauma Rehabil. 2001;16(2):135-8.View Article PubMed
  12.Hovda DA, Yoshino A, Kawamata T, Katayama Y, Becker DP. Diffuse prolonged depression of cerebral oxidative metabolism following concussive brain injury in the rat: a cytochrome oxidase histochemistry study. Brain Res. 1991;567(1):1-0.View Article PubMed
  13.Vink R, Faden AI, McIntosh TK. Changes in cellular bioenergetic state following graded traumatic brain injury in rats: determination by phosphorus 31 magnetic resonance spectroscopy. J Neurotrauma. 1988;5(4):315-0.View Article PubMed
  14.Vespa P, Bergsneider M, Hattori N, Wu HM, Huang SC, Martin NA, et al. Metabolic crisis without brain ischemia is common after traumatic brain injury: a combined microdialysis and positron emission tomography study. J Cereb Blood Flow Metab. 2005;25(6):763-4.View Article PubMed Central PubMed
  15.Chesnut RM, Temkin N, Carney N, Dikmen S, Rondina C, Videtta W, et al. A trial of intracranial-pressure monitoring in traumatic brain injury. New Engl J Med. 2012;367(26):2471-1.View Article PubMed Central PubMed
  16.Maloney-Wilensky E, Gracias V, Itkin A, Hoffman K, Bloom S, Yang W, et al. Brain tissue oxygen and outcome after severe traumatic brain injury: a systematic review. Crit Care Med. 2009;37(6):2057-3.View Article PubMed
  17.Chang JJ, Youn TS, Benson D, Mattick H, Andrade N, Harper CR, et al. Physiologic and functional outcome correlates of brain tissue hypoxia in traumatic brain injury. Crit Care Med. 2009;37(1):283-0.View Article PubMed
  18.Oddo M, Levine JM, Mackenzie L, Frangos S, Feihl F, Kasner SE, et al. Brain hypoxia is associated with short-term outcome after severe traumatic brain injury independently of intracranial hypertension and low cerebral perfusion pressure. Neurosurgery. 2011;69(5):1037-5 discussion 45.PubMed
  19.Nangunoori R, Maloney-Wilensky E, Stiefel M, Park S, Andrew Kofke W, Levine JM, et al. Brain tissue oxygen-based therapy and outcome after severe traumatic brain injury: a systematic literature review. Neurocrit Care. 2012;17(1):131-.View Article PubMed
  20.Smielewski P, Lavinio A, Timofeev I, Radolovich D, Perkes I, Pickard JD, Czosnyka M. ICM+, a flexible platform for investigations of cerebrospinal dynamics in clinical practice. Acta Neurochir Suppl. 2008;102:145-1.View Article PubMed
  21.Balestreri M, Czosnyka M, Steiner LA, Hiler M, Schmidt EA, Matta B, Menon D, Hutchin
• 作者单位：Jennifer Frontera (1)
  Wendy Ziai (2)
  Kristine O’Phelan (3)
  Peter D. Leroux (4)
  Peter J. Kirkpatrick (5)
  Michael N. Diringer (6)
  Jose I. Suarez (7)
  the Second Neurocritical Care Research Conference Investigators
  
  1. Cerebrovascular Center, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland Clinic Mail Code S80, Cleveland, OH, 44195, USA
  2. Department of Neurology, Neurological Surgery, Anesthesiology and Critical Care Medicine, Johns Hopkins University, Baltimore, MD, USA
  3. Department of Neurology, Miller School of Medicine, University of Miami, Miami, FL, USA
  4. Main Line Health Brain and Spine Center, Wynnewood, PA, USA
  5. Division of Neurosurgery, University of Cambridge, Cambridge, UK
  6. Section Neurological Critical Care, Department of Neurology, Neurosurgery, and Anesthesiology, Washington University, St Louis, MO, USA
  7. Division of Vascular Neurology and Neurocritical Care, Department of Neurology, Baylor College of Medicine, Houston, TX, USA
  
• 刊物主题：Internal Medicine; Neurology;
• 出版者：Springer US
• ISSN：1556-0961

文摘

Regional multimodality monitoring has evolved over the last several years as a tool to understand the mechanisms of brain injury and brain function at the cellular level. Multimodality monitoring offers an important augmentation to the clinical exam and is especially useful in comatose neurocritical care patients. Cerebral microdialysis, brain tissue oxygen monitoring, and cerebral blood flow monitoring all offer insight into permutations in brain chemistry and function that occur in the context of brain injury. These tools may allow for development of individual therapeutic strategies that are mechanistically driven and goal-directed. We present a summary of the discussions that took place during the Second Neurocritical Care Research Conference regarding regional brain monitoring.