24. Advanced Monitoring of Brain Oxygenation and Metabolism

  1. Edward M. Manno MD, FCCM, FAAN, FAHA
  1. Bharath R. Naravetla MD1 and
  2. J. Claude Hemphill III MD, MAS2

Published Online: 11 APR 2012

DOI: 10.1002/9781118297162.ch24

Emergency Management in Neurocritical Care

Emergency Management in Neurocritical Care

How to Cite

Naravetla, B. R. and Hemphill, J. C. (2012) Advanced Monitoring of Brain Oxygenation and Metabolism, in Emergency Management in Neurocritical Care (ed E. M. Manno), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781118297162.ch24

Editor Information

  1. Neurological Intensive Care Unit Cleveland Clinic Cleveland, OH, USA

Author Information

  1. 1

    Department of Neurology, Neurovascular Service, University of California, San Francisco, San Francisco, CA, USA

  2. 2

    Department of Neurology, University of California, San Francisco, CA, USA

Publication History

  1. Published Online: 11 APR 2012
  2. Published Print: 11 MAY 2012

Book Series:

  1. Neurology in Practice

Book Series Editors:

  1. Robert A. Gross and
  2. Jonathan W. Mink

Series Editor Information

  1. Department of Neurology, University of Rochester Medical Center, Rochester, NY, USA

ISBN Information

Print ISBN: 9780470654736

Online ISBN: 9781118297162

SEARCH

Keywords:

  • Neuromonitoring;
  • brain tissue oxygen tension;
  • jugular venous oxygen saturation;
  • cerebral blood flow;
  • cerebral microdialysis;
  • oxygen extraction fraction

Summary

Monitoring for secondary brain injury is a fundamental approach to the care of patients with severe head trauma, aneurysmal subarachnoid hemorrhage, and stroke. Standard approaches have focused on measuring and treating intracranial pressure in order to avoid secondary ischemia. New techniques allow the direct measurement of brain tissue oxygen tension, cerebral blood flow, and ischemic metabolites and may allow clinicians to target specific interventions to manage secondary brain injury.