Intraoperative brain oxygenation monitoring and vasospasm in aneurysmal subarachnoid hemorrhage

Cerejo, António; Silva, Pedro Alberto; Vilarinho, António; Dias, Celeste; Vaz, Ruí

doi:10.1179/1743132811y.0000000064

Cited by 17 publications

(9 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…CPP remained stable in all studies, but significant results often failed due to small sample sizes. Effects of PDT on PBrO 2 have not yet been studied, although the importance of PBrO 2 is well recognized in different diseases like subarachnoid hemorrhage (SAH) and traumatic brain injury (TBI) [7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Impact of percutaneous dilatational tracheostomy in brain injured patients

Kuechler¹,

Abusamha²,

Ziemann³

et al. 2015

Clinical Neurology and Neurosurgery

View full text Add to dashboard Cite

Section: Introductionmentioning

confidence: 99%

Impact of percutaneous dilatational tracheostomy in brain injured patients

Kuechler¹,

Abusamha²,

Ziemann³

et al. 2015

Clinical Neurology and Neurosurgery

View full text Add to dashboard Cite

“…This association was independent of age, clinical status, or CT findings. The authors conclude that: "The finding of low intraoperative basal pbtO2 values may be an indicator for a high risk of occurrence of post-operative TCD vasospasm in cases of aneurysmatic SAH" [279]. The second study reports a significant pbtO2 increase in a series of vasospasm patients after endovascular treatment while CPP, ICP, SaO(2), and FiO 2 , did not.…”

Section: Vasospasm Detection After Sahmentioning

confidence: 92%

“…The utility of pbtO2 monitoring in cerebral vasospasm afer SAH is subject of three reports [279][280][281]. The first study reports that post-operative TCD vasospasm developed in 13 patients, all of which had intraoperative pre-clipping pbtO2 < 10mmHg and pbtO2 was significantly lower in cases that developed TCD vasospasm.…”

Section: Vasospasm Detection After Sahmentioning

confidence: 99%

Systematic and Comprehensive Literature Review of Publications on Direct Cerebral Oxygenation Monitoring

Lang

Jaeger²

2013

TOCCMJ

View full text Add to dashboard Cite

This review has been compiled to assess publications related to the clinical application of direct cerebral tissue oxygenation (pbtO2) monitoring published in international, peer-reviewed scientific journals, or major meeting reports published as journal supplements. Its goal was to extract relevant, i.e. positive and negative, information on indications, clinical application, safety issues and impact on clinical situations, as well as treatment strategies in neurosurgery, neurosurgical anaesthesiology, neurosurgical intensive care, neurology, and related specialties. For completeness' sake it also presents related basic science research and case reports. This review is an update of its previous edition published elsewhere in 2007. This review reflects publications from 2004 to 2012. Only relevant publications prior to 2004, which explicitly addressed or systematically examined the above issues, are included in this review and are listed in the reference section. Based on 349 citations it is the most comprehensive review available on direct cerebral oxygen monitoring to this date.Keywords: Review, cerebral oxygenation, raumedic, licox, neurotrend, cerebral partial pressure of oxygen, brain tissue oxygenation. METHODSThis review is based on a systematic "Medline" literature search using the following search terms: licox, neurotrend, neurovent, raumedic, brain tissue oxygen, brain tissue oxygenation, cerebral oxygenation, cerebral tissue oxygen, cerebral partial pressure of oxygen, btO2, ptiO2, pti(O)2, ptiO(2), pbrO2, PBr(O2), P(bt)O(2), P(br)O(2), PbrO(2), BTpO2, tP(O2), PbO2, PbtO2, Pbto, PbtO(2).Only few publications were not retrieved using this technique. They were, however, identified through personal communication with scientists in the field, meeting proceedings and reviewer assignments. This strategy provided sufficient certainty that relevant papers have not been missed. Unpublished meeting abstracts and published conference proceedings were excluded for this review expect for few which provided comparative studies between different probes. To address relevant matters, related to specific pbtO2 issues, selected non-peer reviewed papers published in supplements were also used only when no other peer-reviewed information was available. RESULTSThis review is based on a previous review [1]. It is currently based on 349 papers, 274 more papers compared to its previous version in 2007, which warrants the update.

show abstract

“…[22] Low intraoperative PbO 2 values indicate high risk of occurrence of postoperative TCD detected vasospasm in cases of aneurysmal SAH. [23]…”

Section: Cerebral Oxygenation Monitoringmentioning

confidence: 99%

Advances in neuro-monitoring

2013

View full text Add to dashboard Cite

Neuromonitoring aims to detect harmful physiologic events, early enough to guide the treatment instituted. Evidences encourage us to implement multimodal monitoring, as no single monitor is capable of providing a complete picture of dynamic cerebral state. This review highlights the role of intracranial pressure monitoring, cerebral oxygenation (jugular venous oximetry, brain tissue oxygenation, near infrared oximetry, cerebral microdialysis) and cerebral blood flow monitoring (direct and indirect methods) in the management of neurologically injured patients. In this context, the recent developments of these monitors along with the relevant clinical implications have been discussed. Nevertheless, the diverse range of data obtained from these monitors needs to be integrated and simplified for the clinician. Hence, the future research should focus on identification of a most useful monitor for integration into multimodal system.

show abstract

Intraoperative brain oxygenation monitoring and vasospasm in aneurysmal subarachnoid hemorrhage

Abstract: The finding of low intraoperative basal PbtO(2) values may be an indicator for a high risk of occurrence of post-operative TCD vasospasm in cases of aneurysmatic SAH.

Cited by 17 publications

References 23 publications

Impact of percutaneous dilatational tracheostomy in brain injured patients

Impact of percutaneous dilatational tracheostomy in brain injured patients

Systematic and Comprehensive Literature Review of Publications on Direct Cerebral Oxygenation Monitoring

Advances in neuro-monitoring

Contact Info

Product

Resources

About