title: Multimodality Neuromonitoring.
abstract: The monitoring of systemic and central nervous system physiology is central to the management of patients with neurologic disease in the perioperative and critical care settings. There exists a range of invasive and noninvasive and global and regional monitors of cerebral hemodynamics, oxygenation, metabolism, and electrophysiology that can be used to guide treatment decisions after acute brain injury. With mounting evidence that a single neuromonitor cannot comprehensively detect all instances of cerebral compromise, multimodal neuromonitoring allows an individualized approach to patient management based on monitored physiologic variables rather than a generic one-size-fits-all approach targeting predetermined and often empirical thresholds.
authors: Neurocritical Care Unit, The National Hospital for Neurology and Neurosurgery, University College London Hospitals, Queen Square, London WC1N 3BG, UK.
authors: Matthew A
authors: MA
authors: Kirkman
authors: Neurocritical Care Unit, The National Hospital for Neurology and Neurosurgery, University College London Hospitals, Queen Square, London WC1N 3BG, UK. Electronic address: martin.smith@uclh.nhs.uk.
authors: Martin
authors: M
authors: Smith
mesh_terms: D001921:Brain / Q000502:physiology*; D001930:Brain Injuries / Q000503:physiopathology; D002560:Cerebrovascular Circulation; D003422:Critical Care; D006706:Homeostasis; D006801:Humans; D007427:Intracranial Pressure; D017551:Microdialysis; D016343:Monitoring, Intraoperative; D008991:Monitoring, Physiologic / Q000379:methods*; D019990:Perioperative Care; D017585:Ultrasonography, Doppler, Transcranial
keywords: Autoregulation; Cerebral perfusion pressure; Cerebrovascular reactivity; Informatics; Intracranial pressure; Microdialysis; Multimodality neuromonitoring