Monitoring of head injured patients

Current Opinion in Anaesthesiology

Volumn 18, Issue 5, 2005, Pages 477-483

  Timofeev, Ivan ^a   Gupta, Arun ^a,b  

^a ADDENBROOKE S HOSPITAL   (United Kingdom)

^b CAMBRIDGE UNIVERSITY HOSPITALS NHS FOUNDATION TRUST   (United Kingdom)

Author keywords

Brain tissue oxygen; Cerebral blood flow; Cerebral perfusion pressure; Head injury; Intracranial pressure; Microdialysis; Monitoring

Indexed keywords

AUTOREGULATION; BRAIN CELL; BRAIN ISCHEMIA; BRAIN METABOLISM; BRAIN OXYGEN CONSUMPTION; BRAIN PERFUSION; CELL PH; DISEASE SEVERITY; HEAD INJURY; HUMAN; INTRACRANIAL HYPERTENSION; INTRACRANIAL PRESSURE; JUGULAR VEIN; MICRODIALYSIS; PATHOPHYSIOLOGY; PATIENT MONITORING; PRIORITY JOURNAL; PROGNOSIS; REVIEW; WAVEFORM;

EID: 26244447511     PISSN: 09527907     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.aco.0000183107.19673.ed     Document Type: Review

References (55)

1. De Georgia MA, Deogaonkar A. Multimodal monitoring in the neurological intensive care unit. Neurologist 2005; 11:45-54. This is a detailed review of different modalities of neuromonitoring and their clinical application.
2. Management and prognosis of severe traumatic brain injury. New York Brain Trauma Foundation; American Association of Neurological Surgeons, Joint Section on Neurotrauma and Critical Care; 2000.
3. Czosnyka M, Pickard JD. Monitoring and interpretation of intracranial pressure. J Neurol Neurosurg Psychiatry 2004; 75:813-821. This is a comprehensive review of ICP monitoring in different clinical situations with detailed description of waveform analysis.
4. Balestreri M, Czosnyka M, Steiner LA, et al. Intracranial hypertension: what additional information can be derived from ICP waveform after head injury? Acta Neurochir (Wien) 2004; 146:131-141. This paper links ICP derived indices and waveform patterns to clinical outcome.
5. Lescot T, Naccache L, Bonnet MP, et al. The relationship of intracranial pressure Lundberg waves to electroencephalograph fluctuations in patients with severe head trauma. Acta Neurochir (Wien) 2005; 147:125-129; discussion 129. The authors demonstrate an association between electrophysiological and ICP patterns, suggesting the existence of a 'neural pacemaker', responsible for fluctuations in cerebral blood flow.
6. Venkatesh B, Garrett P, Fraenkel DJ, Purdie D. Indices to quantify changes in intracranial and cerebral perfusion pressure by assessing agreement between hourly and semi-continuous recordings. Intensive Care Med 2004; 30:510-513.
7. Poca MA, Sahuquillo J, Barba MA, et al. Prospective study of methodological issues in intracranial pressure monitoring in patients with hydrocephalus. J Neurosurg 2004; 100:260-265.
8. Fan JY. Effect of backrest position on intracranial pressure and cerebral perfusion pressure in individuals with brain injury: a systematic review. J Neurosci Nurs 2004; 36:278-288.
9. Ng I, Lim J, Wong HB. Effects of head posture on cerebral hemodynamics: its influences on intracranial pressure, cerebral perfusion pressure, and cerebral oxygenation. Neurosurgery 2004; 54:593-7; discussion 598. This well-designed prospective study evaluated the effect of head elevation on ICP, CPP and cerebral oxygenation.
10. Guidelines for the management of severe traumatic brain injury: cerebral perfusion pressure (update notice). A Joint Venture of The Brain Trauma Foundation, The American Association of Neurological Surgeons, The Congress of Neurological Surgeons, The Joint Section on Neurotrauma and Critical Care. New York: The Brain Trauma Foundation; 2003.
11. Cremer OL, van Dijk GW, Amelink GJ, et al. Cerebral hemodynamic responses to blood pressure manipulation in severely head-injured patients in the presence or absence of intracranial hypertension. Anesth Analg 2004; 99:1211-1217.
12. Bellner J, Romner B, Reinstrup P, et al. Transcranial Doppler sonography pulsatility index (PI) reflects intracranial pressure (ICP). Surg Neurol 2004; 62:45-51; discussion 51. This prospective study demonstrated correlation between pulsatility index and ICP.
13. Voulgaris SG, Partheni M, Kaliora H, et al. Early cerebral monitoring using the transcranial Doppler pulsatility index in patients with severe brain trauma. Med Sci Monit 2005; 11:CR49-CR52. This providesd further evidence to support an association of ICP and pulsatility index.
14. Czosnyka M, Smielewski P, Piechnik S, et al. Critical closing pressure in cerebrovascular circulation. J Neurol Neurosurg Psychiatry 1999; 66:606-611.
15. Edouard AR, Vanhille E, Le Moigno S, et al. Non-invasive assessment of cerebral perfusion pressure in brain injured patients with moderate intracranial hypertension. Br J Anaesth 2005; 94:216-221. This study demonstrated correlation between traditional and non-invasive methods of CPP estimation.
16. Fountas KN, Sitkauskas A, Feltes CH, et al. Is non-invasive monitoring of intracranial pressure waveform analysis possible? Preliminary results of a comparative study of non-invasive vs. invasive intracranial slow-wave wave-form analysis monitoring in patients with traumatic brain injury. Med Sci Monit 2005; 11:CR58-CR63. This article describes the application of a novel ultrasound method for non-invasive evaluation of ICP waveform.
17. Fountas KN, Sitkauskas A, Troup EC, et al. New non-invasive sonographic modality for intracranial pressure/volume monitoring. Childs Nerv Syst 2002; 18:211-214.
18. Steiner LA, Johnston AJ, Czosnyka M, et al. Direct comparison of cerebrovascular effects of norepinephrine and dopamine in head-injured patients. Crit Care Med 2004; 32:1049-1054.
19. Engelhard K, Reeker W, Kochs E, Werner C. Effect of remifentanil on intracranial pressure and cerebral blood flow velocity in patients with head trauma. Acta Anaesthesiol Scand 2004; 48:396-399.
20. Bor-Seng-Shu E, Teixeira MJ, Hirsch R, et al. Transcranial doppler sonography in two patients who underwent decompressive craniectomy for traumatic brain swelling: report of two cases. Arq Neuropsiquiatr 2004; 62:715-721.
21. Meyer PG, Ducrocq S, Rackelbom T, et al. Surgical evacuation of acute subdural hematoma improves cerebral hemodynamics in children: a transcranial Doppler evaluation. Childs Nerv Syst 2005; 21:133-137.
22. Shafe M, Blaivas M, Hooker E, Straus L. Noninvasive intracranial cerebral flow velocity evaluation in the emergency department by emergency physicians. Acad Emerg Med 2004; 11:774-777.
23. Tsung JW, Blaivas M, Cooper A, Levick NR. A rapid noninvasive method of detecting elevated intracranial pressure using bedside ocular ultrasound: application to 3 cases of head trauma in the pediatric emergency department. Pediatr Emerg Care 2005; 21:94-98.
24. Llompart Pou JA, Abadal Centellas JM, Palmer Sans M, et al. Monitoring midline shift by transcranial color-coded sonography in traumatic brain injury. A comparison with cranial computerized tomography. Intensive Care Med 2004; 30:1672-1675.
25. Trabold F, Meyer PG, Blanot S, et al. The prognostic value of transcranial Doppler studies in children with moderate and severe head injury. Intensive Care Med 2004; 30:108-112.
26. Vavilala MS, Lee LA, Boddu K, et al. Cerebral autoregulation in pediatric traumatic brain injury. Pediatr Crit Care Med 2004; 5:257-263.
27. 2 after brain trauma time-course of cerebral blood flow velocity and intracranial pressure. Intensive Care Med 2004; 30:2180-2187. The study addressed the danger of hypoperfusion due to induced hyperventilation.
28. Soustiel JF, Shik V. Posttraumatic basilar artery vasospasm. Surg Neurol 2004; 62:201-206; discussion 206.
29. Dominguez-Roldan JM, Garcia-Alfaro C, Jimenez-Gonzalez PI, et al. Brain death due to supratentorial masses: diagnosis using transcranial Doppler sonography. Transplant Proc 2004; 36:2898-2900. The study reevaluated the role of TCD in diagnosing brain stem death
30. Dominguez-Roldan JM, Jimenez-Gonzalez PI, Garcia-Alfaro C, et al. Diagnosis of brain death by transcranial Doppler sonography: solutions for cases of difficult sonic windows. Transplant Proc 2004; 36:2896-2897.
31. Coles JP. Regional ischemia after head injury. Curr Opin Crit Care 2004; 10:120-125. This is a comprehensive review of posttraumatic brain tissue ischaemia, its detection and limitations of current monitoring methods.
32. Coles JP, Fryer TD, Smielewski P, et al. Incidence and mechanisms of cerebral ischemia in early clinical head injury. J Cereb Blood Flow Metab 2004; 24:202-211. The study described the incidence of early cerebral ischaemia following head injury, detected with PET imaging, and its correlation with outcome.
33. 2 monitoring in managing patients with severe head injury.
34. Schurr A. Lactate, glucose and energy metabolism in the ischemic brain [Review]. Int J Mol Med 2002; 10:131-136.
35. Artru F, Dailler F, Burel E, et al. Assessment of jugular blood oxygen and lactate indices for detection of cerebral ischemia and prognosis. J Neurosurg Anesthesiol 2004; 16:226-231.
36. Gracias VH, Guillamondegui OD, Stiefel MF, et al. Cerebral cortical oxygenation: a pilot study. J Trauma 2004; 56:469-472; discussion 472-474.
37. Meixensberger J, Renner C, Simanowski R, et al. Influence of cerebral oxygenation following severe head injury on neuropsychological testing. Neurol Res 2004; 26:414-417.
38. Johnston AJ, Steiner LA, Coles JP, et al. Effect of cerebral perfusion pressure augmentation on regional oxygenation and metabolism after head injury. Crit Care Med 2005; 33:189-195; discussion 255-257. This study demonstrated improvement in regional cerebral oxygenation, following pharmacological CPP augmentation.
39. Jaeger M, Soehle M, Schuhmann MU, et al. Correlation of continuously monitored regional cerebral blood flow and brain tissue oxygen. Acta Neurochir (Wien) 2005; 147:51-56. This study described the relationship between local cerebral blood flow, detected with thermal dilution technique, and brain tissue oxygen.
40. Johnston AJ, Steiner LA, Chatfield DA, et al. Effect of cerebral perfusion pressure augmentation with dopamine and norepinephrine on global and focal brain oxygenation after traumatic brain injury. Intensive Care Med 2004; 30:791-797.
41. Menon DK, Coles JP, Gupta AK, et al. Diffusion limited oxygen delivery following head injury. Crit Care Med 2004; 32:1384-1390. Increased barriers to oxygen diffusion may limit cellular delivery of oxygen. Mechanisms are discussed and morphological evidence is presented in this article.
42. Stiefel MF, Heuer GG, Smith MJ, et al. Cerebral oxygenation following decompressive hemicraniectomy for the treatment of refractory intracranial hypertension. J Neurosurg 2004; 101:241-247.
43. Hutchinson PJ, Menon DK, Kirkpatrick PJ. Decompressive craniectomy in traumatic brain injury - time for randomised trials? Acta Neurochir (Wien) 2005; 147:1-3.
44. Longhi L, Stocchetti N. Hyperoxia in head injury: therapeutic tool? Curr Opin Crit Care 2004; 10:105-109. This review focuses on the recent evidence on the role of induced hyperoxia in managing patients with severe head injury.
45. Gupta AK, Zygun DA, Johnston AJ, et al. Extracellular brain pH and outcome following severe traumatic brain injury. J Neurotrauma 2004; 21:678-684. The study revealed an association between cerebral pH and mortality following traumatic brain injury.
46. Zygun DA, Steiner LA, Johnston AJ, et al. Hyperglycemia and brain tissue pH after traumatic brain injury. Neurosurgery 2004; 55:877-881; discussion 882.
47. Hillered L, Vespa PM, Hovda DA. Translational neurochemical research in acute human brain injury: the current status and potential future for cerebral microdialysis. J Neurotrauma 2005; 22:3-41. This is an excellent comprehensive review of available to date evidence on the use of cerebral microdialysis in neurointensive care.
48. Bellander BM, Gantais E, Enblad P, et al. Consensus meeting on microdialysis in neurointensive care. Intensive Care Med 2004; 30:2166-2169. This is a summary of the recommendations from the international consensus committee on clinical use of cerebral microdialysis.
49. Hlatky R, Valadka AB, Goodman JC, et al. Patterns of energy substrates during ischemia measured in the brain by microdialysis. J Neurotrauma 2004; 21:894-906. This article describes different biochemical patterns during episodes of cerebral ischaemia, dependent on temporal profile and severity of ischaemic episodes.
50. Tolias CM, Reinert M, Seiler R, et al. Normobaric hyperoxia-induced improvement in cerebral metabolism and reduction in intracranial pressure in patients with severe head injury: a prospective historical cohort-matched study. J Neurosurg 2004; 101:435-444.
51. Hlatky R, Valadka AB, Goodman JC, Robertson CS. Evolution of brain tissue injury after evacuation of acute traumatic subdural hematomas. Neurosurgery 2004; 55:1318-1323; discussion 1324.
52. Ederoth P, Tunblad K, Bouw R, et al. Blood-brain barrier transport of morphine in patients with severe brain trauma. Br J Clin Pharmacol 2004; 57:427-435.
53. Engstrom M, Polito A, Reinstrup P, et al. Intracerebral microdialysis in severe brain trauma: the importance of catheter location. J Neurosurg 2005; 102:460-469. This study illustrated the importance of monitoring the brain areas most susceptible to secondary insults following traumatic injury.
54. Winter CD, Pringle AK, Clough GF, Church MK. Raised parenchymal interleukin-6 levels correlate with improved outcome after traumatic brain injury. Brain 2004; 127:315-320. Evidence in support of a neuroprotective role of IL-6 is presented.
55. Nelson DW, Bellander BM, Maccallum RM, et al. Cerebral microdialysis of patients with severe traumatic brain injury exhibits highly individualistic patterns as visualized by cluster analysis with self-organizing maps. Crit Care Med 2004; 32:2428-2436.