"NeuroVanguard": a contemporary strategy in neuromonitoring for severe adult brain injury patients.

Autor: Rodriguez EE; Department of Intensive Care, Hopital Universitaire de Bruxelles (HUB), Université Libre de Bruxelles (ULB), Route de Lennik, 808, 1070, Brussels, Belgium.; School of Medicine and Health Sciences, Universidad del Rosario, Bogotá, Colombia., Zaccarelli M; Department of Intensive Care, Hopital Universitaire de Bruxelles (HUB), Université Libre de Bruxelles (ULB), Route de Lennik, 808, 1070, Brussels, Belgium.; School of Medicine and Health Sciences, Universidad del Rosario, Bogotá, Colombia.; Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, Genoa, Italy., Sterchele ED; Department of Intensive Care, Hopital Universitaire de Bruxelles (HUB), Université Libre de Bruxelles (ULB), Route de Lennik, 808, 1070, Brussels, Belgium.; School of Medicine and Health Sciences, Universidad del Rosario, Bogotá, Colombia.; Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, Genoa, Italy.; Terapia Intensiva e del Dolore, Scuola di Anestesia Rianimazione, Università degli Studi di Milano, Milan, Italy., Taccone FS; Department of Intensive Care, Hopital Universitaire de Bruxelles (HUB), Université Libre de Bruxelles (ULB), Route de Lennik, 808, 1070, Brussels, Belgium. fabio.taccone@ulb.be.
Jazyk: angličtina
Zdroj: Critical care (London, England) [Crit Care] 2024 Apr 01; Vol. 28 (1), pp. 104. Date of Electronic Publication: 2024 Apr 01.
DOI: 10.1186/s13054-024-04893-4
Abstrakt: Severe acute brain injuries, stemming from trauma, ischemia or hemorrhage, remain a significant global healthcare concern due to their association with high morbidity and mortality rates. Accurate assessment of secondary brain injuries severity is pivotal for tailor adequate therapies in such patients. Together with neurological examination and brain imaging, monitoring of systemic secondary brain injuries is relatively straightforward and should be implemented in all patients, according to local resources. Cerebral secondary injuries involve factors like brain compliance loss, tissue hypoxia, seizures, metabolic disturbances and neuroinflammation. In this viewpoint, we have considered the combination of specific noninvasive and invasive monitoring tools to better understand the mechanisms behind the occurrence of these events and enhance treatment customization, such as intracranial pressure monitoring, brain oxygenation assessment and metabolic monitoring. These tools enable precise intervention, contributing to improved care quality for severe brain injury patients. The future entails more sophisticated technologies, necessitating knowledge, interdisciplinary collaboration and resource allocation, with a focus on patient-centered care and rigorous validation through clinical trials.
(© 2024. The Author(s).)
Databáze: MEDLINE
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