Multi‑Modal Monitoring of the Brain in Patients with Severe Craniocerebral Trauma and Subarachnoid Hemorrhage in Neurolocritical Care

Česká verzia

Authors: A. Hejčl ¹; M. Bolcha ¹; J. Procházka ²; M. Sameš ¹
Authors place of work: Ne urochirurgická klinika UJEP a Krajská zdravotní a. s., Masarykova nemocnice v Ústí nad Labem, o. z., 2Oddělení intenzivní medicíny, Krajská zdravotní a. s., Masarykova nemocnice v Ústí nad Labem, o. z. ¹
Published in the journal: Cesk Slov Neurol N 2009; 72/105(4): 383-387
Category: Short Communication

Summary

The therapy of pati ents with severe tra umatic brain injury and subarachno id hemorrhage is focused on the preventi on and therapy of brain ischemi a ca used by brain edema and vasospasm. Invasive monitoring of the intracrani al pressure and evalu ati on of vasospasm by transcrani al Doppler ultrasonography are a part of clinical ro utine; while new methods – tissue oxymetry, brain metabolism and cerebral blo od flow (so called multimodal monitoring) are still at an e arly stage in clinical practice. The purpose of implementing these methods is to improve o ur di agnosis of brain metabolism and e arly di agnosis of brain ischemi a. In this paper we present the contributi on of multimodal monitoring in the therapy of pati ents with brain tra uma and subarachno id hemorrhage as illustrated in fo ur case reports.

Key words:
tra umatic brain injury – vasospasm – monitoring – microdi alysis – oxymetry

Zdroje

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