Mobile computerized tomography scanning in the neurosurgery intensive care unit: increase in patient safety and reduction of staff workload

Gunnarsson, Þorsteinn; Theodorsson, Annette; Karlsson, Per; Friðriksson, Steen; Boström, Sverre; Persliden, Jan; Johansson, Ingegerd; Hillman, Jan

doi:10.3171/jns.2000.93.3.0432

Cited by 64 publications

(62 citation statements)

References 13 publications

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“…This mCT technology could provide a better way for evaluating patients in the ICU and emergency department as well as the OR, because it takes a relatively short time to obtain images and it improves the quality of treatment for the patients. Transporting ventilated, sedated patients who are critically ill and physiologically unstable from the ICU to a conventional CT room is often slow, and is a potential risk that can result in aggravated secondary injuries to the brain 4,8) .…”

Section: Clinical Applicationsmentioning

confidence: 99%

“…Rumboldt et al 10) reported that the inherent risks associated with such intrahospital transport could reach more than 50% and adverse events could occur in a further 15% of cases, even with a well-trained transport team. Gunnarsson et al 4) reported that the staff workload for one scanning procedure used by a portable CT system was reduced by 60% to 75%.…”

Section: Clinical Applicationsmentioning

confidence: 99%

“…Actually, economic efficacy as well as clinical benefits must be considered. Previous studies have concluded that the introduction of an iCT with or without a portable system in the OR or ICU is feasible and cost-effective 4,7,10,12) .…”

Section: Clinical Applicationsmentioning

confidence: 99%

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Mobile Computed Tomography : Early Experience in Korea

Kim

Lee

Son

et al. 2010

J Korean Neurosurg Soc

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Objective : With improved technology, the values of intraoperative computed tomography (iCT) have been reevaluated. We describe our early clinical experience with a mobile CT (mCT) system for iCT and discuss its clinical applications, advantages and limitations. Methods : Compared with intraoperative magnetic resonance imaging, this mCT system has no need for major reconstruction of a preexisting operating room for shielding, or for specialized instruments or equipment. Patients are placed on a radiolucent head clamp that fits within the gantry. Because it consists simply of a scanner and a workstation, it can be moved between locations such as an operating room, an intensive care unit (ICU) or an emergency room without difficulty. Furthermore, it can achieve nearly all types of CT scanning procedures such as enhancement, temporal bone imaging, angiography and three-dimensional reconstruction. Results : For intracranial surgery, mCT can be used for intraoperative real-time neuronavigation by interacting with preoperative images. It can also be used for intraoperative confirmation of the extent of resection of intracranial lesions and for immediate checks for preventing intraoperative unexpected accidents. Therefore, the goals of maximal resection or optimal treatment can be achieved without any guesswork. Furthermore, mCT can achieve improved patient care with safety and faster diagnosis for patients in an ICU who might be subjected to a ventilator and/or various monitoring devices. Conclusion : Our initial experience demonstrates that mCT with high-quality imaging offers very useful information in various clinical situations.

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Section: Clinical Applicationsmentioning

confidence: 99%

Section: Clinical Applicationsmentioning

confidence: 99%

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Mobile Computed Tomography : Early Experience in Korea

Kim

Lee

Son

et al. 2010

J Korean Neurosurg Soc

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“…Episodic, tomographic, high resolution, quantitative data at the bedside has proven to be very useful for understanding common clinical disorders such as an elevation of intracranial pressure [57][58][59]. When this is coupled with data such as CBF probe or brain tissue oxygenation [60], that data can be placed in perspective.…”

Section: Xenon/ct In Traumatic Brain Injurymentioning

confidence: 99%

Editorial - Neuromonitoring: The Concept of Targeted Therapy Revisited

Soustiel¹

2010

TONEUROSJ

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Abstract:Xenon/CT provides quantitative CBF data that has a proven record of being both safe and prognostic for decision making. The technique itself has been extensively validated. Modern equipment has allowed for integration of the data into immediate bedside decision-making with the use of a portable head CT scanner and improved data processing. The use of xenon/CT in decision making in traumatic brain injury may have a high utility in determining whether a specific treatment-whether it is hyperventilation, induced hypertension, or other intervention-is in fact helpful to the individual patient. This can allow for decision making based on an individual patient's physiology rather than generalized guidelines which may, in some cases, even be harmful.

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“…Because of the 11 pump infusions of drugs and the placement of an endotracheal tube and numerous catheters, the risk of a physiological deterioration or a technical mishap during the transportation was high. 2,4,9,11,13,19,20 In the case of complicating events that develop outside the NICU, all therapeutic interventions are more difficult to accomplish. In our case the occurrence of coagulopathy and numerous contusions makes frequent updating of the morphological information of major importance.…”

Section: Neurosurg Focus / Volume 9 / November 2000mentioning

confidence: 99%

Clinical usefulness of bedside intracranial morphological monitoring: mobile computerized tomography in the neurosurgery intensive care unit

Gunnarsson¹,

Hillman²

2000

FOC

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The practice of modern neurointensive care is based on the use of multimodality monitoring to respond rapidly to physiological, biochemical, or morphological changes and avoid secondary brain injury. Until recently, one important monitoring method, computerized tomography (CT), has not been available for bedside use. The authors have over 3 years of experience with the routine use of bedside CT scanning and have developed their own method of scanning the patients in their beds. In this report, they describe three illustrative cases in which the mobile CT scanner was of great value in the management of difficult neurosurgical intensive care problems. It is concluded that the availability of bedside morphological monitoring in the neurosurgery intensive care unit is of great help in management and clinical decision making.

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Mobile computerized tomography scanning in the neurosurgery intensive care unit: increase in patient safety and reduction of staff workload

Cited by 64 publications

References 13 publications

Mobile Computed Tomography : Early Experience in Korea

Mobile Computed Tomography : Early Experience in Korea

Editorial - Neuromonitoring: The Concept of Targeted Therapy Revisited

Clinical usefulness of bedside intracranial morphological monitoring: mobile computerized tomography in the neurosurgery intensive care unit

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