Cerebral monitoring in surgical ICU patients
| Autor: | Dario Massari, Ilonka N de Keijzer, Thomas Scheeren |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
INTENSIVE-CARE-UNIT
cerebral autoregulation Sedation intracranial pressure CONSENSUS STATEMENT Critical Care and Intensive Care Medicine medicine Humans cerebral oxygenation Anesthesia Autoregulation POSTOPERATIVE DELIRIUM Intracranial pressure Subclinical infection CONTINUOUS EEG BLOOD-FLOW business.industry Delirium SEDATION Blood flow AUTOREGULATION Respiration Artificial BISPECTRAL INDEX Intensive Care Units Cerebral blood flow Cerebrovascular Circulation ELECTROENCEPHALOGRAPHY cerebral monitoring medicine.symptom business Neurocognitive CARDIAC-SURGERY |
| Zdroj: | Current opinion in critical care. 27(6):701-708 |
| ISSN: | 1070-5295 |
| DOI: | 10.1097/mcc.0000000000000871 |
| Popis: | Purpose of review To give an overview of cerebral monitoring techniques for surgical ICU patients. Recent findings As the burden of postsurgical neurological and neurocognitive complications becomes increasingly recognized, cerebral monitoring in the surgical ICU might gain a relevant role in detecting and possibly preventing adverse outcomes. However, identifying neurological alterations in surgical ICU patients, who are often sedated and mechanically ventilated, can be challenging. Various noninvasive and invasive techniques are available for cerebral monitoring, providing an assessment of cortical electrical activity, cerebral oxygenation, blood flow autoregulation, intracranial pressure, and cerebral metabolism. These techniques can be used for the diagnosis of subclinical seizures, the assessment of sedation depth and delirium, the detection of an impaired cerebral blood flow, and the diagnosis of neurosurgical complications. Summary Cerebral monitoring can be a valuable tool in the early detection of adverse outcomes in surgical ICU patients, but the evidence is limited, and clear clinical indications are still lacking. |
| Databáze: | OpenAIRE |
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