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Key Monitoring in Neuroanesthesia: Principles, Techniques, and Indications

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Essentials of Neurosurgical Anesthesia & Critical Care
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Abstract

One of the primary roles of the neuroanesthesiologist is to maintain cerebral perfusion to meet the brain’s metabolic demands and, under circumstances of reduced perfusion, to protect the brain. Since secondary cerebral insults can be systemic or cerebral in origin, monitoring techniques to guide optimization of cerebral hemodynamics and oxygenation must include measurement of both systemic and cerebral physiologic variables. The spinal cord is at risk of injury during spine surgery, and multimodal electrophysiological monitoring can minimize these risks.

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Suggested Reading

  • Ghosh A, Elwell C, Smith M. Cerebral near-infrared spectroscopy in adults: a work in progress. Anesth Analg. 2012;115:1373–83.

    Article  CAS  Google Scholar 

  • Hutchinson PJ, Jalloh I, Helmy A, et al. Consensus statement from the 2014 International Microdialysis Forum. Intensive Care Med. 2015;41:1517–28.

    Article  Google Scholar 

  • Kirkman M, Smith M. Multimodality neuromonitoring. Anesthesiol Clin. 2016;34:511–23.

    Article  Google Scholar 

  • Kirkman M, Smith M. Intracranial pressure monitoring, cerebral perfusion pressure estimation, and ICP-CPP guided therapy: a standard of care or an optional extra after brain injury? Brit J Anaesth. 2013;112:35–6.

    Article  Google Scholar 

  • Lazaridis C, Andrews CM. Brain tissue oxygenation, lactate-pyruvate ratio, and cerebrovascular pressure reactivity monitoring in severe traumatic brain injury: systematic review and viewpoint. Neurocrit Care. 2014;21:345–55.

    Article  CAS  Google Scholar 

  • Le Roux P, Menon DK, Citerio G, et al. Consensus summary statement of the International Multidisciplinary Consensus Conference on Multimodality Monitoring in Neurocritical Care: a statement for healthcare professionals from the Neurocritical Care Society and the European Society of Intensive Care Medicine. Intensive Care Med. 2014;40:1189–209.

    Article  Google Scholar 

  • Citerio G, Oddo M, Taccone FS. Recommendations for the use of multimodal monitoring in the neurointensive care unit. Curr Opin Crit Care. 2015;21:113–9.

    Article  Google Scholar 

  • Shils J, Sloan T. Intraoperative neuromonitoring. Int Anesthesiol Clin. 2015;53:53–73.

    Article  Google Scholar 

  • Smith M. Multimodality neuromonitoring in adult traumatic brain injury: a narrative review. Anesthesiology. 2018;128:401–15.

    Article  Google Scholar 

  • Teasdale G, Maas A, Lecky F, Manley G, Stocchetti N, Murray G. The Glasgow coma scale at 40 years: standing the test of time. Lancet Neurol. 2014;13:844–54.

    Article  Google Scholar 

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Correspondence to Martin Smith .

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Smith, M. (2020). Key Monitoring in Neuroanesthesia: Principles, Techniques, and Indications. In: Brambrink, A., Kirsch, J. (eds) Essentials of Neurosurgical Anesthesia & Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-030-17410-1_5

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  • DOI: https://doi.org/10.1007/978-3-030-17410-1_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-17408-8

  • Online ISBN: 978-3-030-17410-1

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