Advances in Cerebral Monitoring for the Patient with Traumatic Brain Injury

• Published in: Critical care nursing clinics of North America Vol. 27; no. 2; pp. 213 - 223
• Main Authors: Mahdavi, Zakraus, Pierre-Louis, Naregnia, Ho, Thuy-Tien, Figueroa, Stephen A., Olson, DaiWai M.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-06-2015
• Subjects: Brain Injuries, Traumatic - diagnosis; Brain Injuries, Traumatic - physiopathology; Brain Injuries, Traumatic - therapy; Critical Care - methods; Humans; Intensive care; Intensive Care Units; Intracranial Pressure - physiology; Monitoring, Physiologic - methods; Multimodal monitoring; Neurocritical care; Nursing; Traumatic brain injury; United States > US; Multimodal monitoring; Intensive care; Nursing; Traumatic brain injury; Neurocritical care
• ISSN: 0899-5885; 1558-3481
• DOI: 10.1016/j.cnc.2015.02.002

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.