[Continuous monitoring of patients with extensive strokes. Importance of monitoring on the neurological intensive care unit].
One of the main functions of neurologic intensive care units (NICU) is to provide continuous monitoring of critically ill patients. Space-occupying stroke is a disease with high mortality. While clinical assessment of these comatose patients is difficult, additional monitoring is of key importance. With this information, intensive care physicians may recognize pathophysiologic changes earlier, thus making the right timing of therapeutic interventions easier. Every patient admitted to the NICU receives a basic monitoring which combines noninvasive and invasive methods. Additionally, some specialized centers are exploring the new method of multimodal monitoring. This allows continuous monitoring of physiologic parameters of brain function and compliance. The following article attempts to explain methods of neurointensive care monitoring and its importance for the treatment of stroke. Furthermore, we describe new developments in patient monitoring.
Steiner
T
T
Universitätsklinikum Heidelberg, Neurologische Klinik, Im Neuenheimer Feld 400, 69120 Heidelberg. thorsten_steiner@med.uni-heidelberg.de
Meisel
F
F
Hacke
W
W
D001921:Brain / Q000503:physiopathology; D003422:Critical Care; D006801:Humans; D008991:Monitoring, Physiologic; D011379:Prognosis; D020521:Stroke / Q000401:mortality / Q000503:physiopathology* / Q000628:therapy; D015996:Survival Rate