Related Experiment Video
Updated: Aug 9, 2025
07:12
Real-Time Monitoring of Neurocritical Patients with Diffuse Optical Spectroscopies
Published on: November 19, 2020
2.2K
Neuromonitoring in Critically Ill Patients.
Swarna Rajagopalan1, Aarti Sarwal2
1Department of Neurology, Cooper Medical School of Rowan University, Camden, NJ.
Critical Care Medicine
|February 16, 2023
Summary
Bedside neuromonitoring aids early detection of acute brain injury in critically ill patients. This review summarizes techniques, risks, and benefits for improved patient outcomes.
Area of Science:
- Critical care medicine and neurocritical care.
- Clinical neurophysiology and neuroscience.
Background:
- Critically ill patients face a high risk of acute brain injury, necessitating advanced monitoring.
- Early detection of neurologic deterioration is crucial for timely intervention and improved outcomes.
- Multimodality neuromonitoring offers insights into systemic and intracranial interactions.
Approach:
- A narrative review synthesizing data from English articles retrieved via PubMed and CINAHL.
- Inclusion of original research, review articles, commentaries, and guidelines.
- Focus on both invasive and noninvasive neuromonitoring techniques.
Key Points:
- Neuromonitoring assesses diverse physiologic processes: clinical assessments, electrophysiology, cerebral blood flow, substrate delivery/utilization, and cellular metabolism.
- Most research targets traumatic brain injury, with limited data on other acute brain injuries.
- Commonly used techniques, their risks, bedside applications, and interpretation of findings are summarized.
Conclusions:
- Neuromonitoring is essential for early detection and treatment of acute brain injury in critical care settings.
- Understanding neuromonitoring nuances empowers intensive care teams to mitigate neurologic morbidity.
- Further research may identify neuromonitoring markers for neuroprognostication.
