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Intracranial Pressure and Neurocritical Care Monitoring
Charles L. Francoeur
Stephan A. Mayer
Monitoring plays a fundamental role in the daily practice of neurocritical care. Bedside neuromonitoring supplements clinical evaluation and imaging with the underlying goal of detecting physiologic derangements before neurologic deterioration and irreversible damage occurs. This chapter introduces continuous bedside neuromonitoring modalities that are in use in the most advanced neurocritical care units around the world. Although no study has tested whether “multimodality” monitoring improves outcome, these advanced systems allow for recognition of real-time pathologic events that we were unable to identify just a few years ago and provide new insights into the complex pathophysiology of severe brain injury.
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