Multimodality Monitoring in the Neurocritical Care Unit (2018) Lucia Rivera Lara

Description

This article focuses on the multiple neuromonitoring devices that can be used to collect bedside data in the neurocritical care unit and the methodology to integrate them into a multimodality monitoring system. The article describes how to apply the collected data to appreciate the physiologic changes and develop therapeutic approaches to prevent secondary injury. Recent findings suggest that frequent bedside examinations are not sufficient to detect and prevent secondary brain injury, and that integration of multimodality monitoring with advanced informatics tools will enhance assessments. This article reviews the invasive and noninvasive technologies used to monitor focal and global neurophysiologic cerebral alterations. Multimodal monitoring is still in the early stages of development, and research is needed to establish more advanced monitors and bioinformatics to identify useful trends and predict clinical outcome or prevent secondary brain injury.