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In this chapter, we describe the ongoing development of innovative neuromonitoring devices that could improve current patient management in neurocritical care. We emphasize those devices that monitor brain oxygen delivery, brain metabolism, cerebral blood flow, intracranial pressure, electrophysiology, and cerebral autoregulation and discuss how to integrate and time-stamp them in a manner that facilitates interpretation of data from multimodality neuromonitoring.
KeywordsMultimodality monitoring PbtO2 NIRS Microdialysis Cerebral blood flow ICP COx PRx
- 4.https://www.enterprise.cam.ac.uk/opportunities/icm-software-for-brain-monitoring-in-neurological-intensive-care-research/. University of Cambridge Enterprise, 2016.
- 6.Le Roux P, Menon DK, Citerio G, et al. The international multidisciplinary consensus conference on multimodality monitoring in neurocritical care: a list of recommendations and additional conclusions: a statement for healthcare professionals from the Neurocritical Care Society and the European Society of Intensive Care Medicine. Neurocrit Care. 2014;21(Suppl 2):S282–96.CrossRefGoogle Scholar
- 9.Suzuki S, Takasaki S, Ozaki T, Kobayashi Y. Tissue oxygenation monitor using NIR spatially resolved spectroscopy. BiOS ‘99 International Biomedical Optics Symposium. 1999; SPIE. p. 11.Google Scholar
- 14.Tisdall MM, Tachtsidis I, Leung TS, Elwell CE, Smith M. Changes in the attenuation of near infrared spectra by the healthy adult brain during hypoxaemia cannot be accounted for solely by changes in the concentrations of oxy- and deoxy-haemoglobin. Adv Exp Med Biol. 2008;614:217–25.CrossRefGoogle Scholar
- 25.Monro A. Observations on the structure and function of the nervous system. Edinburgh: Creech and Johnson; 1783.Google Scholar
- 26.Kellie G. An account of the appearances observed in the dissection of two of the three individuals presumed to have perished in the storm of the 3rd, and whose bodies were discovered in the vicinity of Leith on the morning of the 4th November 1821 with some reflections on the pathology of the brain. Transac Medico Chirurg Soc Edinburgh. 1824;1:84–169.Google Scholar