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Evaluation of Cerebral Blood Flow and Brain Metabolism in the Intensive Care Unit

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Metabolic Disorders and Critically Ill Patients

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Abstract

The imbalance between oxygen supply to the brain tissue and its utilization, that is, brain tissue hypoxia, is considered the major cause for the development of secondary brain damage and hence poor neurological outcome [1, 2]. This phenomenon develops hours after the initial insult, e.g., trauma, stroke, intracerebral hematoma, and subarachnoid hemorrhage (SAH). Therefore, improving brain oxygenation after severe brain injury is the focus of modern management in the intensive care unit (ICU). It relies upon a multimodal approach of monitoring that includes assessments of brain perfusion and metabolism at the bedside and during imaging modalities.

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Author information

Authors and Affiliations

  1. Pôle Anesthesie-Reanimation, CHU Grenoble Alpes, F-38000, Grenoble, France

    Pierre Bouzat, Gilles Francony & Jean-François Payen

  2. Inserm U1216, F-38000, Grenoble, France

    Pierre Bouzat, Emmanuel L. Barbier, Gilles Francony & Jean-François Payen

  3. Univ. Grenoble Alpes, Grenoble Institute ofneurosciences (GIN), F-38000, Grenoble, France

    Pierre Bouzat, Emmanuel L. Barbier, Gilles Francony & Jean-François Payen

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  1. Pierre Bouzat
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  2. Emmanuel L. Barbier
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  3. Gilles Francony
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  4. Jean-François Payen
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Correspondence to Jean-François Payen .

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Editors and Affiliations

  1. Intensive Care Unit, Hôpital Pasteur 2, Centre Hospitalier Universitaire de Nice, Université Côte d’Azur, Nice, France

    Carole Ichai

  2. Intensive Care Unit, Hôpital Pasteur 2, Centre Hospitalier Universitaire de Nice, Université Côte d’Azur, Nice, France

    Hervé Quintard

  3. Intensive Care Unit, Hôpital Pasteur 2, Centre Hospitalier Universitaire de Nice, Université Côte d’Azur, Nice, France

    Jean-Christophe Orban

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Bouzat, P., Barbier, E.L., Francony, G., Payen, JF. (2018). Evaluation of Cerebral Blood Flow and Brain Metabolism in the Intensive Care Unit. In: Ichai, C., Quintard, H., Orban, JC. (eds) Metabolic Disorders and Critically Ill Patients. Springer, Cham. https://doi.org/10.1007/978-3-319-64010-5_14

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  • DOI: https://doi.org/10.1007/978-3-319-64010-5_14

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