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Updated: May 25, 2026
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A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury
Published on: March 26, 2019
Brain multimodality monitoring: an update
Mauro Oddo1, Federico Villa, Giuseppe Citerio
1Department of Intensive Care Medicine, Centre Hospitalier Universitaire Vaudois, Lausanne University Hospital, Lausanne, Switzerland. mauro.oddo@chuv.ch
Current Opinion in Critical Care
|February 11, 2012
Summary
Brain multimodality monitoring (BMM) improves secondary brain injury (SBI) management by providing comprehensive data. This approach helps personalize treatment for better outcomes in neurocritical care.
Area of Science:
- Neurocritical Care
- Neurology
- Intensive Care Medicine
Background:
- Secondary brain injury (SBI) encompasses pathological events post-insult, worsening patient outcomes.
- Key SBI components include cerebral edema, ischemia, energy dysfunction, seizures, and systemic insults.
Purpose of the Study:
- To review the clinical utility of brain multimodality monitoring (BMM) for managing SBI.
- To highlight BMM's role in optimizing neurocritical care.
Main Methods:
- Review of recent data on BMM in clinical practice.
- Integration of intracranial pressure (ICP), brain oxygen (PbtO2), cerebral microdialysis, and regional cerebral blood flow monitoring.
- Utilizing quantitative electroencephalography (qEEG) for brain function assessment.
Main Results:
- Standard ICP monitoring alone is often insufficient for detecting all SBI episodes.
- BMM allows targeted therapies (e.g., managing cerebral perfusion pressure, glucose) based on patient-specific pathophysiology.
- Physiological parameters from BMM, like PbtO2 and lactate/pyruvate ratio, correlate with outcomes and are in guidelines.
Conclusions:
- BMM provides continuous, comprehensive assessment of the injured brain.
- BMM is increasingly vital for effective SBI management.
- Integrating BMM data with informatics tools can optimize patient therapy and care quality.
