Monitoring Brain Oxygen Tension in Severe Head Injury: The Rotterdam Experience

Brink, W. A. van den; Santbrink, Henk van; Avezaat, C. J. J.; Hogesteeger, Chris; Jansen, Wilma J.; Kloos, Loet M. H.; Vermeulen, Joost; Mass, Andrew

doi:10.1007/978-3-7091-6475-4_55

Intracranial Pressure and Neuromonitoring in Brain Injury 1998

DOI: 10.1007/978-3-7091-6475-4_55

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Monitoring Brain Oxygen Tension in Severe Head Injury: The Rotterdam Experience

W. A. van den Brink

Henk van Santbrink

C. J. J. Avezaat

et al.

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Cited by 7 publications

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Monitoring of Brain and Systemic Oxygenation in Neurocritical Care Patients

Oddo

Bösel

2014

Neurocrit Care

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Maintenance of adequate oxygenation is a mainstay of intensive care, however, recommendations on the safety, accuracy, and the potential clinical utility of invasive and non-invasive tools to monitor brain and systemic oxygenation in neurocritical care are lacking. A literature search was conducted for English language articles describing bedside brain and systemic oxygen monitoring in neurocritical care patients from 1980 to August 2013. Imaging techniques e.g., PET are not considered. A total of 281 studies were included, the majority described patients with traumatic brain injury (TBI). All tools for oxygen monitoring are safe. Parenchymal brain oxygen (PbtO2) monitoring is accurate to detect brain hypoxia, and it is recommended to titrate individual targets of cerebral perfusion pressure (CPP), ventilator parameters (PaCO2, PaO2), and transfusion, and to manage intracranial hypertension, in combination with ICP monitoring. SjvO2 is less accurate than PbtO2. Given limited data, NIRS is not recommended at present for adult patients who require neurocritical care. Systemic monitoring of oxygen (PaO2, SaO2, SpO2) and CO2 (PaCO2, end-tidal CO2) is recommended in patients who require neurocritical care.

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Monitoring of Brain and Systemic Oxygenation in Neurocritical Care Patients

Oddo

Bösel

2014

Neurocrit Care

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Clinical utility of brain tissue oxygen tension in treatment of brain injury more complicated than it appears

Schmidt¹,

Claassen²

2012

Clinical Neurophysiology

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Elevated Intracranial Pressure, Low Cerebral Perfusion Pressure, and Impaired Brain Metabolism Correlate with Fatal Outcome After Severe Brain Injury

et al. 2011

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Monitoring Brain Oxygen Tension in Severe Head Injury: The Rotterdam Experience

Cited by 7 publications

References 19 publications

Monitoring of Brain and Systemic Oxygenation in Neurocritical Care Patients

Monitoring of Brain and Systemic Oxygenation in Neurocritical Care Patients

Clinical utility of brain tissue oxygen tension in treatment of brain injury more complicated than it appears

Elevated Intracranial Pressure, Low Cerebral Perfusion Pressure, and Impaired Brain Metabolism Correlate with Fatal Outcome After Severe Brain Injury

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