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Related Experiment Video

Updated: Mar 16, 2026

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury

Published on: March 26, 2019

Multimodality Neuromonitoring.

Matthew A Kirkman¹, Martin Smith¹

¹Neurocritical Care Unit, The National Hospital for Neurology and Neurosurgery, University College London Hospitals, Queen Square, London WC1N 3BG, UK.

Anesthesiology Clinics

|August 14, 2016

Summary

This summary is machine-generated.

Multimodal neuromonitoring offers personalized patient care for neurologic conditions. This approach uses various monitors to tailor treatment after acute brain injury, moving beyond one-size-fits-all methods.

Keywords:

Autoregulation Cerebral perfusion pressure Cerebrovascular reactivity Informatics Intracranial pressure Microdialysis Multimodality neuromonitoring

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Last Updated: Mar 16, 2026

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Published on: March 3, 2023

Area of Science:

Neuroscience
Critical Care Medicine
Neurology

Background:

Systemic and central nervous system monitoring is crucial for patients with neurologic diseases in perioperative and critical care.
Various invasive and noninvasive monitors assess cerebral hemodynamics, oxygenation, metabolism, and electrophysiology.
These monitors guide treatment decisions following acute brain injury.

Purpose of the Study:

To highlight the limitations of single neuromonitoring devices.
To advocate for multimodal neuromonitoring strategies.
To emphasize an individualized patient management approach.

Main Methods:

Review of existing neuromonitoring techniques (invasive/noninvasive, global/regional).
Analysis of evidence supporting multimodal approaches.
Comparison with traditional, threshold-based management.

Main Results:

No single neuromonitor can detect all instances of cerebral compromise.
Multimodal neuromonitoring provides a comprehensive assessment.
Individualized management based on multiple physiologic variables is superior.

Conclusions:

Multimodal neuromonitoring enables personalized patient care in neurologic critical care.
It allows for tailored treatment strategies based on comprehensive physiologic data.
This approach moves beyond empirical thresholds for improved patient outcomes.