Potential use of quantitative bedside CBF monitoring (Xe-CT) for decision making in neurosurgical intensive care

British Journal of Neurosurgery

Volumn 21, Issue 4, 2007, Pages 332-339

  Sturnegk, P ^a   Mellergard P ^a   Yonas, H ^b   Theodorsson, A ^a   Hillman, J ^a  

^a LINKÖPING UNIVERSITY HOSPITAL   (Sweden)

^b UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE   (United States)

Author keywords

Cerebral blood flow; Head trauma; Monitoring; Neurosurgical intensive care; Subarachnoid haemorrhage; Xenon CT

Indexed keywords

ACETAZOLAMIDE; DOPAMINE; NIMODIPINE; PHENYLEPHRINE;

ADOLESCENT; ADULT; AGED; ANEURYSM RUPTURE; ARTICLE; BLOOD FLOWMETRY; BRAIN BLOOD FLOW; BRAIN HEMORRHAGE; BRAIN INFARCTION; COMPUTER ASSISTED TOMOGRAPHY; DIAGNOSTIC VALUE; FEMALE; HEAD INJURY; HEALTH CARE UTILIZATION; HUMAN; INTENSIVE CARE UNIT; MAJOR CLINICAL STUDY; MALE; MEDICAL DECISION MAKING; PATIENT MONITORING; PERFUSION PRESSURE; POINT OF CARE TESTING; PRIORITY JOURNAL; RHEOENCEPHALOGRAPHY; SUBARACHNOID HEMORRHAGE; VASCULAR RESISTANCE; XENON COMPUTERIZED TOMOGRAPHY;

ADOLESCENT; AGED; CEREBROVASCULAR CIRCULATION; FEMALE; HUMANS; INTENSIVE CARE; MALE; MIDDLE AGED; POINT-OF-CARE SYSTEMS; RADIATION DOSAGE; SUBARACHNOID HEMORRHAGE; TOMOGRAPHY, X-RAY COMPUTED; XENON;

EID: 34547681727     PISSN: 02688697     EISSN: 1360046X     Source Type: Journal    
DOI: 10.1080/02688690701411574     Document Type: Article

References (45)

1. Andrews P, Murugavel S, Deehan S. Conventional multimodality monitoring and failure to detect ischaemic cerebral blood flow. J Neurosurg Anesthesiol 1996;8(3):220-6.
2. Stiefel MF SA, Gracias VH, Garuffe AM, et al. Reduced mortality rate in patients with severe traumatic brain injury treated with brain tissue oxygen monitoring. J Neurosurg 2005;103:805-11.
3. Hillman J, Sturnegk P, Yonas H, et al. Bedside CBF with Xenon-CT using a mobile scanner: a novel method for CBF measurement in neurointensive care. Br J Neurosurg 2005;19(5):395-401.
4. Asgeirsson B, Grande P, Nordstrom C. A new therapy of posttrauma brain oedema based on haemodynamic principles for brain volume regulation. Intensive Care Med 1994;20(4):260-7.
5. Grande P, Asgeirsson B, Nordstrom C. Volume-targeted therapy of increased intracranial pressure: the Lund concept unifies surgical and non-surgical treatments. Acta Anaesthesiol Scand 2002;46:929-41.
6. Gunnarsson T, Theodorsson A, Karlsson P, et al. Mobile computerized tomography scanning in the neurosurgery intensive care unit: increase in patient safety and reduction of staff workload. J Neurosurg 2000;93:432-6.
7. Elf K NP, Ronne-Engstrom E, Howells T, Enblad P. Cerebral perfusion pressure between 50 and 60 mm Hg may be beneficial in head-injured patients: a computerized secondary insult monitoring study. Neurosurgery 2005;56:962-71.
8. Robertsson C. Management of cerebral perfusion pressure after traumatic brain injury. Anesthesiology 2001;95:1513-17.
9. Schalen W MK, Nordstrom CH. Cerebral vasoreactivity and the prediction of outcome in severe traumatic brain lesions. Acta Anaesthesiol Scand 1991;35:113-22.
10. Lee JH KD, Oertel M, McArthur DL, et al. Carbon dioxide reactivity, pressure autoregulation and metabolic suppression reactivity after head injury: a transcranial Doppler study. J Neurosurg 2001;95:222-32.
11. Lang EW LJ, Griffith J, Yip K, et al. Cerebral vasomotor reactivity testing in head injury: the link between pressure and flow. J Neurol Neurosurg Psychiatry 2003;74:1053-9.
12. Nemoto EM YH, Kuwabara H, Pindzola R, et al. Differentiating hemodynamic compromise by the OEF response to acetazolamide in occlusive vascular disease. Adv Exp Med Biol 2005;566:135-41.
13. Siesjo B. Basic mechanisms of traumatic brain damage. Ann Emerg Med 1993;22:959-69.
14. Coles J. Regional ischaemia after head injury. Curr Opin Crit Care 2004;10:120-5.
15. Johnston A, Steiner L, Coles J, et al. Effect of cerebral perfusion pressure augmentation on regional oxygenation and metabolism after head injury. Crit Care Med 2005;33:189-95.
16. Kett-White R, Hutchinson P, Czosnyka M, et al. Multi-modal monitoring of acute brain injury. Adv Tech Stand Neurosurg 2002;27:87-134.
17. Sarrafzadeh A, Kiening K, Unterberg A. Neuromonitoring: brain oxygenation and microdialysis. Curr Neurol Neurosci Rep 2003;3(6):517-23.
18. Alvarez del Castillo M. Monitoring neurologic patients in intensive care. Curr Opin Crit Care 2001;7(2):49-60.
19. Oertel M BW, Obrist WD, Glenn TC, et al. Posttraumatic vasospasm: the epidemiology, severity, and time course of an underestimated phenomenon: a prospective study performed in 299 patients. J Neurosurg 2005;103:812-24.
20. Bramlett H, Dietrich W. Pathophysiology of cerebral ischaemia and brain trauma: similarities and differences. J Cereb Blood Flow Metab 2004;24:133-50.
21. Keller E, Steiner T, Fandino J, Schwab S, Hacke W. Jugular venous oxygen saturation thresholds in trauma patients may not extrapolate to ischaemic stroke patients: lessons from a preliminary study. J Neurosurg Anesthesiol 2002;14:130-6.
22. Clyde BL, Firlik AD, Kaufmann AM, Spearman MP, Yonas H. Paradoxical aggravation of vasospasm with papaverine infusion following aneurysmal subarachnoid hemorrhage. Case report. J Neurosurg 1996;84:690-5.
23. Kilpatrick MM, Yonas H, Goldstein S, et al. CT-based assessment of acute stroke: CT, CT angiography, and xenon-enhanced CT cerebral blood flow. Stroke 2001;32:2543-9.
24. Braman SS, Dunn SM, Amico CA, Millman RP. Complications of intrahospital transport in critically ill patients. Ann Intern Med 1987;107:469-73.
25. Smith I, Fleming S, Cernaianu A. Mishaps during transport from the intensive care unit. Crit Care Med 1990;18(3):278-81.
26. Waddell G. Movement of critically ill patients within hospital. Br Med J 1975;2(5968):417-19.
27. Smielewski PCM, Steiner L, Belestri M, Piechnik S, Pickard JD. ICM+: software for on-line analysis of bedside monitoring data after severe head trauma. Acta Neurochir Suppl (Wien) 2005;95:43-9.
28. Darby JM, Yonas H, Marks EC, et al. Acute cerebral blood flow response to dopamine-induced hypertension after subarachnoid hemorrhage. J Neurosurg 1994;80:857-64.
29. Darby JM, Nemoto EM, Yonas H, Melick J. Stable xenon does not increase intracranial pressure in primates with freeze-injury-induced intracranial hypertension. J Cereb Blood Flow Metab 1991;11:522-6.
30. Segawa H. Tomographic cerebral blood flow measurement using xenon inhalation and serial CT scanning: normal values and its validity. Neurosurg Rev 1985;8:27-33.
31. Yonas H, Darby JM, Marks EC, Durham SR, Maxwell C. CBF measured by Xe-CT: approach to analysis and normal values. J Cereb Blood Flow Metab 1991;11:716-25.
32. von Oettingen G, Bergholt B, Gyldensted C, Astrup J. Blood flow and ischaemia within traumatic cerebral contusions. Neurosurgery 2002;50:781-8; discussion 788-90.
33. Vajkoczy P, Horn P, Thome C, Munch E, Schmiedek P. Regional cerebral blood flow monitoring in the diagnosis of delayed ischaemia following aneurysmal subarachnoid hemorrhage. J Neurosurg 2003;98:1227-34.
34. Veselis RA, Reinsel RA, Beattie BJ, et al. Midazolam changes cerebral blood flow in discrete brain regions: an H2(15)O positron emission tomography study. Anesthesiology 1997;87:1106-17.
35. Oshima T, Karasawa F, Satoh T. Effects of propofol on cerebral blood flow and the metabolic rate of oxygen in humans. Acta Anaesthesiol Scand 2002;46:831-5.
36. Baron J. Perfusion thresholds in human cerebral ischaemia: historical perspective and therapeutic implications. Cerebrovasc Dis 2001;11(Suppl 1):2-8.
37. Cunningham AS SR, Coles JP, Chatfield DA, et al. Physiological thresholds for irreversible tissue damage in contusional regions following traumatic brain injury. Brain 2005;128:1931-42.
38. Steiner LA, Coles JP, Johnston AJ, et al. Assessment of cerebrovascular autoregulation in head-injured patients: a validation study. Stroke 2003;34:2404-9.
39. Minhas P, Smielewski P, Kirkpatrick P, Pickard J, Czosnyka M. Pressure autoregulation and positron emission tomography-derived cerebral blood flow acetazolamide reactivity in patients with carotid artery stenosis. Neurosurgery 2004;55:63-7.
40. Imaizumi M, Kitagawa K, Oku N, et al. Clinical significance of cerebrovascular reserve in acetazolamide challenge - comparison with acetazolamide challenge H2O-PET and Gas-PET. Ann Nucl Med 2004;18(5):369-74.
41. Nemoto E, Yonas H, Kuwabara H, et al. Identification of hemodynamic compromise by cerebrovascular reserve and oxygen extraction fraction in occlusive vascular disease. J Cereb Blood Flow Metab 2004;24:1081-9.
42. Hutchinson PJ GA, Fryer TF, Al-Rawi PG, et al. Correlation between cerebral blood flow, substrate delivery, and metabolism in head injury: a combined microdialysis and triple oxygen positron emission tomography study. J Cereb Blood Flow Metab 2002;22:735-45.
43. Enblad P FP, Valtysson J, Silander HC, et al. Middle cerebral artery occlusion and reperfusion in primates monitored by microdialysis and sequential positron emission tomography. Stroke 2001;32:1574-80.
44. Sarrafzadeh AS HD, Ludemann L, Amthauer H, et al. Cerebral ischaemia in aneurysmal subarachnoid hemorrhage: a correlative microdialysis-PET study. Stroke 2004;35:638-43.
45. Steiner LA, Czosnyka M. Should we measure cerebral blood flow in head-injured patients? Br J Neurosurg 2002;16(5):429-39.