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A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury
Published on: March 26, 2019
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The Safety of Multimodality Monitoring Using a Triple-Lumen Bolt in Severe Acute Brain Injury
Robert L Bailey1, Francis Quattrone2, Colin Curtin2
1Division of Neurosurgery, Main Line Health, Wynnewood, Pennsylvania, USA.
World Neurosurgery
|June 14, 2019
Summary
Multimodality monitoring using triple-lumen bolts is safe for severe acute brain injury patients. Complication rates are comparable to single-lumen bolts, indicating reliability in clinical practice.
Area of Science:
- Neurosurgery
- Intensive Care Medicine
- Neurological Monitoring
Background:
- Multimodality monitoring is crucial for managing severe acute brain injury.
- This study evaluates the safety and reliability of this monitoring technique.
Purpose of the Study:
- To assess the safety and reliability of multimodality monitoring in patients with severe acute brain injury.
- To identify complications, device malfunctions, and infections associated with monitoring.
Main Methods:
- Retrospective analysis of 501 patients with severe acute brain injury at a Level I trauma center.
- Patients received triple-lumen bolts with intracranial pressure, brain temperature, and brain oxygen monitors.
- Complications, device replacements, and CT scan findings were reviewed.
Main Results:
- 696 triple-lumen bolts were placed; median monitoring duration was 78.88 hours.
- A low complication rate was observed, including minor contusions and hematomas, with most attributed to insertion technique.
- Only one infection was identified, and a significant portion of replaced monitors were found to be functional.
Conclusions:
- Placement of intracranial monitors for multimodality neuromonitoring using a triple-lumen bolt is safe.
- The complication rate is comparable to single-lumen bolts and single monitors.
- Multimodality monitoring with triple-lumen bolts is a reliable tool in neurocritical care.
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