Invasive Neuromonitoring Modalities in the Pediatric Population
Shih-Shan Lang1,2, Raphia Rahman3,4, Nankee Kumar3
1Division of Neurosurgery, Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, 6 Wood Center, Philadelphia, PA, 19104, USA. Chens4@chop.edu.
Neurocritical Care
|March 8, 2023
Summary
Invasive neuromonitoring devices offer objective data for real-time pediatric neurocritical care. This review details intracranial pressure monitors, brain oxygen monitors, and other technologies to optimize patient outcomes.
Area of Science:
- Neuroscience
- Critical Care Medicine
- Biomedical Engineering
Background:
- Invasive neuromonitoring is crucial in pediatric neurocritical care, providing objective data for real-time management.
- Emerging technologies enhance the integration of diverse cerebral function data for optimized patient care.
- Commonly studied devices in pediatric populations include ICP monitors, brain tissue oxygenation monitors, and others.
Purpose of the Study:
- To review current invasive neuromonitoring technologies used in pediatric neurocritical care.
- To describe the mechanisms, indications, pros, cons, and efficacy of these devices.
- To evaluate their impact on patient outcomes in pediatric neurocritical care settings.
Main Methods:
- Literature review of invasive neuromonitoring devices in pediatric neurocritical care.
- Analysis of mechanisms of function, indications for use, and clinical efficacy.
- Synthesis of data regarding advantages, disadvantages, and impact on patient outcomes.
Main Results:
- Established devices like ICP monitors and brain tissue oxygenation monitors are vital.
- Emerging modalities offer comprehensive insights into cerebral function.
- Evidence supports the use of these technologies in guiding management and improving outcomes.
Conclusions:
- Invasive neuromonitoring technologies are essential tools in pediatric neurocritical care.
- These devices provide critical data for real-time decision-making and patient management.
- Continued research and technological advancement will further refine their application and efficacy.
Keywords:
Brain tissue oxygenationCerebral blood flowCerebral microdialysisExternal ventricular drainIntracranial pressureInvasive neuromonitoringMultimodality neuromonitoringPediatricThermal diffusion flowmetryTraumatic brain injury

