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Intensive Care Medicine

, Volume 34, Issue 8, pp 1362–1370 | Cite as

NICEM consensus on neurological monitoring in acute neurological disease

  • Peter J. D. Andrews
  • Giuseppe Citerio
  • Luca Longhi
  • Kees Polderman
  • Juan Sahuquillo
  • Peter Vajkoczy
  • Neuro-Intensive Care and Emergency Medicine (NICEM) Section of the European Society of Intensive Care Medicine
Special Article

Abstract

This manuscript summarises the consensus on neuromonitoring in neuro-intensive care promoted and organised by the Neuro-Intensive Care and Emergency Medicine (NICEM) Section of the European Society of Intensive Care Medicine (ESICM). It is expected that continuous monitoring using multi-modal techniques will help to overcome the limitations of each individual method and will provide a better diagnosis. More specific treatment can then be applied; however, it remains to be determined which combination of parameters is optimal. The questions discussed and addressed in this manuscript are: (1) Who should have ICP monitoring and for how long? (2) What ICP technologies are available and what are their relative advantages/disadvantages? (3) Should CPP monitoring and autoregulation testing be used? (4) When should brain tissue oxygen tension (PbrO2) be monitored? (5) Should structurally normal or abnormal tissue be monitored with PbrO2? (6) Should microdialysis be considered in complex cases? It is hoped that this document will prove useful to clinicians working in NICU and also to those developing specialist NICU services within their hospital practice.

Keywords

Intracranial pressure monitoring Cerebral perfusion pressure Brain tissue oxygenation Microdialysis 

Notes

Acknowledgements

We thank Giulia Abate, MD, for keeping minutes of the meeting. We thank the device companies (in alphabetical order: Codman, Johnson&Johnson, Integra Neuroscience, Rehaumedic, Vitamed Technologies) that financially supported the meeting. Companies' representatives were present only as auditors and did not participate in the consensus discussion or in the preparation or revision of this manuscript.

Supplementary material

134_2008_1103_MOESM1_ESM.rtf (47 kb)
Electronic Supplementary Material (RTF 47K)

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Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Peter J. D. Andrews
    • 1
    • 2
  • Giuseppe Citerio
    • 3
  • Luca Longhi
    • 4
  • Kees Polderman
    • 5
  • Juan Sahuquillo
    • 6
  • Peter Vajkoczy
    • 7
  • Neuro-Intensive Care and Emergency Medicine (NICEM) Section of the European Society of Intensive Care Medicine
  1. 1.Department of Anaesthetics, Critical Care & Pain MedicineUniversity of Edinburgh & Lothian University Hospitals DivisionEdinburghScotland
  2. 2.Western General HospitalEdinburghUK
  3. 3.Neuroanesthesia and Neurosurgical Intensive Care Unit, Department of Perioperative Medicine and Intensive CareSan Gerardo HospitalMonzaItaly
  4. 4.Neurosurgical Intensive Care Unit, Department of Anaesthesia and Critical Care Medicine, Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina ElenaUniversity of MilanMilanItaly
  5. 5.Department of Intensive CareUtrecht University Medical CenterUtrechtThe Netherlands
  6. 6.Division of NeurosurgeryVall d’Hebron University Hospital, Universitat Autonoma de BarcelonaBarcelonaSpain
  7. 7.Department of NeurosurgeryCharité Universitätsmedizin BerlinBerlinGermany

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