Neurocritical Care Monitoring.
Miller, Chad M.
Neurocritical Care Monitoring. - 1st ed. - 1 online resource (186 pages)
Cover -- Title -- Copyright -- Contents -- Contributors -- Foreword -- Preface -- Share Neurocritical Care Monitoring -- Chapter 1: Intracranial Pressure Monitoring -- Introduction -- Intracranial Pressure -- Physiology of Intracranial Pressure Monitoring -- Initiation of an Intracranial Pressure Monitoring Device -- ICP Thresholds -- Cerebral Perfusion Threshold -- Intracranial Pressure Waveforms (Lundeberg Pathological Waves) -- Duration of Monitoring -- Types of Intracranial Pressure Monitoring Devices -- External Ventricular Drain EVD -- Anatomy and Placement -- Intraparenchymal Intracranial Pressure Monitor -- Subarachnoid Intracranial Pressure Monitor -- Epidural Intracranial Pressure Monitors -- Lumbar Catheter Intracranial Pressure Monitoring -- Additional Concerns With Intracranial Pressure Monitoring Devices -- Critical Care Management of Elevated Intracranial Pressure -- General Measures -- Specific Measures -- References -- Chapter 2: Transcranial Doppler Monitoring -- Introduction -- Subarachnoid Hemorrhage: Detection of Vasospasm -- Technical Aspects of Transcranial Doppler -- Middle Cerebral Artery Vasospasm -- Anterior Cerebral Artery Vasospasm -- Internal Carotid Artery Vasospasm -- Vertebral and Basilar Arteries Vasospasm -- Complete TCD Examination with Lindegaard Ratio Determination -- Distal Vasospasm Detection by TCD -- Transcranial Doppler in Traumatic Brain Injury: Intracranial Pressure and Cerebral Perfusion Pressure -- Brain Death -- Acute Ischemic Stroke and Monitoring of Recanalization -- Monitoring for Emboli -- Carotid Endarterectomy and Carotid Artery Stenting -- Summary -- References -- Chapter 3: Continuous EEG Monitoring -- Introduction -- EEG Techniques and Uses in the Intensive Care Unit -- Quantitative EEG -- Automated Seizure Detection -- Depth and Surface EEG Recording with Multimodality Monitoring. EEG Applications -- Subclinical Seizures and Status Epilepticus -- Metabolic and Infectious Encephalopathies -- Traumatic Brain Injury -- Subarachnoid Hemorrhage -- Detection of Vasospasm -- Intracerebral Hemorrhage -- Ischemic Stroke -- Post-Cardiac Arrest -- Postoperative Patients -- References -- Chapter 4: Cerebral Oxygenation -- Introduction -- Brain Tissue Oxygen Monitoring -- Techniques -- Placement -- Interpretation and Clinical Utility -- Effect of Hypoxia on Outcome -- ICP-Guided Therapy Versus PbtO2-Guided Therapy -- Other Potential Clinical Applications for PbtO2 Monitoring -- Therapeutic Strategies -- Jugular Bulb Oximetry -- Near-Infrared Spectroscopy -- References -- Chapter 5: Brain Tissue Perfusion Monitoring -- Introduction -- Types of Monitors Available for Brain Tissue Perfusion Assessment -- Literature Supporting Cerebral Perfusion Monitoring -- Pathophysiology -- Clinical Aspects of Monitoring Brain Tissue Perfusion -- Which Patients Would Benefit From Monitoring? -- Placement of Thermal Diffusion Monitors -- What Are the Conventionally Accepted Monitoring Thresholds That Should Prompt Clinical Intervention? -- Summary -- References -- Chapter 6: Cerebral Microdialysis -- Introduction -- Function and Design -- Normative Values for Standard Analytes -- Risks of Monitoring -- Indications and Evidence for Cerebral Microdialysis Monitoring -- Aneurysmal Subarachnoid Hemorrhage -- Traumatic Brain Injury -- Intraparenchymal Hemorrhage -- Ischemic Stroke -- Brain Tumors -- Hepatic Encephalopathy -- Antibiotic Central Nervous System Penetration and Drug Delivery -- Pediatric Patients -- When and Where Microdialysis Probes Should be Placed -- Developing a System for Responsive Microdialysis Therapeutic Guidance -- Conclusion -- References -- Chapter 7: Cerebral Autoregulation -- Introduction -- Transcranial Doppler Ultrasonography. Static Test of Autoregulation -- Transcranial Doppler Reactivity to Changes in Carbon Dioxide Concentration -- Thigh Cuff Test -- Transient Hyperaemic Response Test -- Phase Shift Between Transcranial Doppler and Mean Arterial Pressure During Slow Respiration -- Correlation Method Using Transcranial Doppler Flow Velocity Waveform -- Transfer Function Analysis -- Intracranial Pressure and Arterial Blood Pressure -- Optimal CPP -- Brain Tissue Oxygenation Reactivity -- Near-Infrared Spectroscopy -- Conclusion -- References -- Chapter 8: Neuroimaging -- Introduction -- Acute Brain Injury Assessment -- Vessel Imaging -- CT or MR Angiography -- Perfusion Imaging -- Hyperperfusion -- Assessment of Intracerebral Hemorrhage -- Serial Imaging -- Traumatic Brain Injury -- Vascular Injury -- Chronic Management of Traumtic Brain Injury -- Research Imaging Modalities -- Diffusion Tensor Imaging -- Resting State Functional MRI -- Portable Neuroimaging -- References -- Chapter 9: Evoked Potentials in Neurocritical Care -- Introduction -- Types of Evoked Potentials -- Somatosensory Evoked Potentials (SSEP) -- Brainstem Auditory Evoked Potentials (BAEP) -- Visual Evoked Potentials (VEP) -- Prognosis After Cardiac Arrest -- Prognosis After Traumatic Brain Injury -- Prognosis After Ischemic or Hemorrhagic Stroke -- Prognosis After Spinal Cord Injury -- Prognosis for Metabolic Encephalopathy -- Continuous Evoked Potential Monitoring in the Neurologic ICU -- Future Directions -- References -- Chapter 10: Bioinformatics for Multimodal Monitoring -- Introduction -- Multimodality Monitoring as Translational Research -- Physiological Data Collection -- General Considerations -- Hospital Collaboration -- Data Acquistion Challenges -- Data Frequency and Storage Requirements -- Physiological Data Acquisition Approaches -- EEG Data Collection and Research. Translational Research Integrating High Resolution Data with EEG -- Low-Resolution Data -- Electronic Health Record -- Clinical Data Collection -- Methods to Collect and Store Data -- Digital Storage of Paper Clinical Research Form (CRF) Data -- Summary -- References -- Chapter 11: Nursing: The Essential Piece to Successful Neuromonitoring -- Introduction -- Neuroscience Intensive Care Unit Nursing Personnel -- Hiring -- Neuroscience ICU Training (Orientation) -- Orientation Specific to Multimodal Neuromonitoring -- Conclusion -- References -- Appendix A -- External Ventricular Drainage (EVD) -- Appendix B -- Fiberoptic catheter -- Appendix C -- Brain Tissue Oxygen Monitor (Licox™) -- Chapter 12: Multimodal Monitoring: Challenges in Implementation and Clinical Utilization -- Introduction -- Outcomes Data -- Commitment to Multimodal Monitoring: Assembling the Multidisciplinary Team -- Multimodal Monitoring and Clinical Guidelines -- Learning to Read the Tea Leaves -- Multimodal Monitoring: Worth the Effort -- Innovation and Compatibility in a Small Market -- The Future of Multimodal Monitoring: Beyond the Basics -- Multimodal Monitoring as a Piece of the Clinical Puzzle -- What Do You See? -- Challenges -- References -- Index.
9781617051883
Central nervous system -- Diseases -- Diagnosis.
Electronic books.
RC350.N49 .M384 2014
616.8/0428
Neurocritical Care Monitoring. - 1st ed. - 1 online resource (186 pages)
Cover -- Title -- Copyright -- Contents -- Contributors -- Foreword -- Preface -- Share Neurocritical Care Monitoring -- Chapter 1: Intracranial Pressure Monitoring -- Introduction -- Intracranial Pressure -- Physiology of Intracranial Pressure Monitoring -- Initiation of an Intracranial Pressure Monitoring Device -- ICP Thresholds -- Cerebral Perfusion Threshold -- Intracranial Pressure Waveforms (Lundeberg Pathological Waves) -- Duration of Monitoring -- Types of Intracranial Pressure Monitoring Devices -- External Ventricular Drain EVD -- Anatomy and Placement -- Intraparenchymal Intracranial Pressure Monitor -- Subarachnoid Intracranial Pressure Monitor -- Epidural Intracranial Pressure Monitors -- Lumbar Catheter Intracranial Pressure Monitoring -- Additional Concerns With Intracranial Pressure Monitoring Devices -- Critical Care Management of Elevated Intracranial Pressure -- General Measures -- Specific Measures -- References -- Chapter 2: Transcranial Doppler Monitoring -- Introduction -- Subarachnoid Hemorrhage: Detection of Vasospasm -- Technical Aspects of Transcranial Doppler -- Middle Cerebral Artery Vasospasm -- Anterior Cerebral Artery Vasospasm -- Internal Carotid Artery Vasospasm -- Vertebral and Basilar Arteries Vasospasm -- Complete TCD Examination with Lindegaard Ratio Determination -- Distal Vasospasm Detection by TCD -- Transcranial Doppler in Traumatic Brain Injury: Intracranial Pressure and Cerebral Perfusion Pressure -- Brain Death -- Acute Ischemic Stroke and Monitoring of Recanalization -- Monitoring for Emboli -- Carotid Endarterectomy and Carotid Artery Stenting -- Summary -- References -- Chapter 3: Continuous EEG Monitoring -- Introduction -- EEG Techniques and Uses in the Intensive Care Unit -- Quantitative EEG -- Automated Seizure Detection -- Depth and Surface EEG Recording with Multimodality Monitoring. EEG Applications -- Subclinical Seizures and Status Epilepticus -- Metabolic and Infectious Encephalopathies -- Traumatic Brain Injury -- Subarachnoid Hemorrhage -- Detection of Vasospasm -- Intracerebral Hemorrhage -- Ischemic Stroke -- Post-Cardiac Arrest -- Postoperative Patients -- References -- Chapter 4: Cerebral Oxygenation -- Introduction -- Brain Tissue Oxygen Monitoring -- Techniques -- Placement -- Interpretation and Clinical Utility -- Effect of Hypoxia on Outcome -- ICP-Guided Therapy Versus PbtO2-Guided Therapy -- Other Potential Clinical Applications for PbtO2 Monitoring -- Therapeutic Strategies -- Jugular Bulb Oximetry -- Near-Infrared Spectroscopy -- References -- Chapter 5: Brain Tissue Perfusion Monitoring -- Introduction -- Types of Monitors Available for Brain Tissue Perfusion Assessment -- Literature Supporting Cerebral Perfusion Monitoring -- Pathophysiology -- Clinical Aspects of Monitoring Brain Tissue Perfusion -- Which Patients Would Benefit From Monitoring? -- Placement of Thermal Diffusion Monitors -- What Are the Conventionally Accepted Monitoring Thresholds That Should Prompt Clinical Intervention? -- Summary -- References -- Chapter 6: Cerebral Microdialysis -- Introduction -- Function and Design -- Normative Values for Standard Analytes -- Risks of Monitoring -- Indications and Evidence for Cerebral Microdialysis Monitoring -- Aneurysmal Subarachnoid Hemorrhage -- Traumatic Brain Injury -- Intraparenchymal Hemorrhage -- Ischemic Stroke -- Brain Tumors -- Hepatic Encephalopathy -- Antibiotic Central Nervous System Penetration and Drug Delivery -- Pediatric Patients -- When and Where Microdialysis Probes Should be Placed -- Developing a System for Responsive Microdialysis Therapeutic Guidance -- Conclusion -- References -- Chapter 7: Cerebral Autoregulation -- Introduction -- Transcranial Doppler Ultrasonography. Static Test of Autoregulation -- Transcranial Doppler Reactivity to Changes in Carbon Dioxide Concentration -- Thigh Cuff Test -- Transient Hyperaemic Response Test -- Phase Shift Between Transcranial Doppler and Mean Arterial Pressure During Slow Respiration -- Correlation Method Using Transcranial Doppler Flow Velocity Waveform -- Transfer Function Analysis -- Intracranial Pressure and Arterial Blood Pressure -- Optimal CPP -- Brain Tissue Oxygenation Reactivity -- Near-Infrared Spectroscopy -- Conclusion -- References -- Chapter 8: Neuroimaging -- Introduction -- Acute Brain Injury Assessment -- Vessel Imaging -- CT or MR Angiography -- Perfusion Imaging -- Hyperperfusion -- Assessment of Intracerebral Hemorrhage -- Serial Imaging -- Traumatic Brain Injury -- Vascular Injury -- Chronic Management of Traumtic Brain Injury -- Research Imaging Modalities -- Diffusion Tensor Imaging -- Resting State Functional MRI -- Portable Neuroimaging -- References -- Chapter 9: Evoked Potentials in Neurocritical Care -- Introduction -- Types of Evoked Potentials -- Somatosensory Evoked Potentials (SSEP) -- Brainstem Auditory Evoked Potentials (BAEP) -- Visual Evoked Potentials (VEP) -- Prognosis After Cardiac Arrest -- Prognosis After Traumatic Brain Injury -- Prognosis After Ischemic or Hemorrhagic Stroke -- Prognosis After Spinal Cord Injury -- Prognosis for Metabolic Encephalopathy -- Continuous Evoked Potential Monitoring in the Neurologic ICU -- Future Directions -- References -- Chapter 10: Bioinformatics for Multimodal Monitoring -- Introduction -- Multimodality Monitoring as Translational Research -- Physiological Data Collection -- General Considerations -- Hospital Collaboration -- Data Acquistion Challenges -- Data Frequency and Storage Requirements -- Physiological Data Acquisition Approaches -- EEG Data Collection and Research. Translational Research Integrating High Resolution Data with EEG -- Low-Resolution Data -- Electronic Health Record -- Clinical Data Collection -- Methods to Collect and Store Data -- Digital Storage of Paper Clinical Research Form (CRF) Data -- Summary -- References -- Chapter 11: Nursing: The Essential Piece to Successful Neuromonitoring -- Introduction -- Neuroscience Intensive Care Unit Nursing Personnel -- Hiring -- Neuroscience ICU Training (Orientation) -- Orientation Specific to Multimodal Neuromonitoring -- Conclusion -- References -- Appendix A -- External Ventricular Drainage (EVD) -- Appendix B -- Fiberoptic catheter -- Appendix C -- Brain Tissue Oxygen Monitor (Licox™) -- Chapter 12: Multimodal Monitoring: Challenges in Implementation and Clinical Utilization -- Introduction -- Outcomes Data -- Commitment to Multimodal Monitoring: Assembling the Multidisciplinary Team -- Multimodal Monitoring and Clinical Guidelines -- Learning to Read the Tea Leaves -- Multimodal Monitoring: Worth the Effort -- Innovation and Compatibility in a Small Market -- The Future of Multimodal Monitoring: Beyond the Basics -- Multimodal Monitoring as a Piece of the Clinical Puzzle -- What Do You See? -- Challenges -- References -- Index.
9781617051883
Central nervous system -- Diseases -- Diagnosis.
Electronic books.
RC350.N49 .M384 2014
616.8/0428