Perioperative uses of transcranial perfusion monitoring.
Transcranial perfusion monitoring provides early warning of impending brain ischemia and may be used to guide management of cerebral perfusion and oxygenation. The monitoring options include measurement of intracranial and cerebral perfusion pressures, assessment of cerebral blood flow, and assessment of the adequacy of perfusion by measurement of cerebral oxygenation and brain tissue biochemistry. Some monitoring techniques are well established, whereas others are relatively new to the clinical arena and their indications are still being evaluated. Currently available monitoring techniques are reviewed and their appropriateness and application to the perioperative period is discussed.
Smith
Martin
M
Department of Neuroanaesthesia and Neurocritical Care, The National Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Trust and Centre for Anaesthesia, London, UK. martin.smith@uclh.nhs.uk
D001921:Brain / Q000378:metabolism; D002545:Brain Ischemia / Q000517:prevention & control*; D015170:Cerebrospinal Fluid Pressure; D002560:Cerebrovascular Circulation; D006801:Humans; D017551:Microdialysis; D019635:Neurosurgical Procedures; D010100:Oxygen / Q000378:metabolism; D011182:Postoperative Care; D011300:Preoperative Care; D019265:Spectroscopy, Near-Infrared
D010100:Oxygen