MRI in Neurocritical Care

Mar 25, 2019 by in NEUROSURGERY Comments Off on MRI in Neurocritical Care

Introduction Knowing the extent of brain damage in the context of acute cerebral injury can be of paramount importance, especially when the patient is at crossroads, when a decision should…

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Engineering Issues

Mar 25, 2019 by in NEUROSURGERY Comments Off on Engineering Issues

Introduction History and Background By most accounts the modern era of neuromonitoring began in the 1950s with reports of continuous intracranial pressure (ICP) measurements in humans by Janny et al. ICP…

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Jugular Bulb Oximetry

Mar 25, 2019 by in NEUROSURGERY Comments Off on Jugular Bulb Oximetry

Introduction Jugular bulb venous monitoring provides information about global cerebral hemodynamics and metabolism and has become an important tool in the clinical management of neurologically injured patients. Other techniques to…

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Device Development

Mar 25, 2019 by in NEUROSURGERY Comments Off on Device Development

Introduction In times past, tribal medicine men jealously guarded their secret knowledge, typically passing it from father to son, thereby protecting the family’s status and importance. Over the centuries mankind…

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Brain Oxygen

Mar 25, 2019 by in NEUROSURGERY Comments Off on Brain Oxygen

Introduction Maintenance of an adequate tissue oxygenation is a fundamental objective in the field of critical care medicine in general, and the assessment of tissue oxygenation is an essential part…

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Cerebral Microdialysis

Mar 25, 2019 by in NEUROSURGERY Comments Off on Cerebral Microdialysis

Introduction Cerebral microdialysis (MD) is a well-established laboratory tool that is being increasingly used as a bedside monitor to provide online analysis of brain tissue biochemistry during neurointensive care. MD…

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Brain Temperature

Mar 25, 2019 by in NEUROSURGERY Comments Off on Brain Temperature

Introduction Mammals have evolved sophisticated thermoregulatory systems to maintain body temperature within an optimal range for cellular biochemical reactions. Under normal conditions, excluding hibernating mammals, core temperature is maintained around…

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Near Infrared Spectroscopy

Mar 25, 2019 by in NEUROSURGERY Comments Off on Near Infrared Spectroscopy

Introduction Frans Jöbsis first described the use of in vivo tissue near infrared spectroscopy (NIRS) in the human brain in 1977. The technique is based on the concept that light…

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Intracranial Pressure

Mar 25, 2019 by in NEUROSURGERY Comments Off on Intracranial Pressure

This chapter is dedicated to professor Douglas Miller for his personal influence on my understanding of brain injury and his genius in originating the concept of targeted therapy, the implications…

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Xenon-Enhanced Computed Tomography

Mar 25, 2019 by in NEUROSURGERY Comments Off on Xenon-Enhanced Computed Tomography

Introduction Xenon-enhanced computed tomography (Xe-CT) is a powerful physiologic imaging tool that provides a clinician with quantitative cerebral blood flow (CBF) data, allows the physiologic response to various interventions to…

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