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Multimodality Monitoring in Severe Traumatic Brain Injury 

Multimodality Monitoring in Severe Traumatic Brain Injury
Chapter:
Multimodality Monitoring in Severe Traumatic Brain Injury
Author(s):

Abdelhakim Khellaf

, Peter J. A. Hutchinson

, and Adel Helmy

DOI:
10.1093/med/9780190936259.003.0022
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date: 02 July 2022

The central aspects of severe traumatic brain injury (sTBI) management are control of intracranial pressure (ICP) and maintenance of adequate delivery of glucose and oxygen to the brain. Brain multimodality monitoring (MMM) is an important tool defined by the concurrent use of multiple brain monitors, typically ICP monitoring, cerebral perfusion pressure (CPP) monitoring (via ICP and invasive arterial monitoring), brain tissue oxygen tension (PbtO2) monitoring, and cerebral microdialysis for brain biochemistry. The aim of brain MMM in patients with sTBI is to help optimize conditions for brain recovery within the neurocritical care unit, prevent secondary injury, and provide individualized therapeutic targets. In this chapter, the authors further elaborate on these concepts and current guidelines with application to a case example.

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