Multimodality monitoring in severe head injury.
OBJECTIVE
This review describes recent advances in multimodal neuromonitoring of patients following severe head injury during the period from 2001 to 2002.


RESULTS
Monitoring intracranial pressure is considered a standard part of therapy despite a lack of randomized studies comparing patients with and without intracranial pressure monitoring. Jugular oximetry and brain tissue oxygen pressure monitoring are being used more frequently as part of a treatment protocol. Intracerebral microdialysis, despite the widespread use as a research tool, still cannot be considered a standard in clinical monitoring. These new monitoring devices may provide useful insight into the evolution of brain injury.


CONCLUSIONS
Technology is rapidly changing the nature of neuromonitoring. New devices are becoming available which make the monitoring truly multimodal. Studies are needed to determine how to best incorporate these new parameters into effective management protocols.
Hlatky
Roman
R
Department of Neurosurgery, University Hospital, Hradec Kralove, Czech Republic. romanhlatky@hotmail.com
Robertson
Claudia S
CS