Education  |   February 2018
Multimodality Neuromonitoring in Adult Traumatic Brain Injury: A Narrative Review
Author Notes
  • From the National Hospital for Neurology and Neurosurgery, University College London Hospitals, Queen Square, London, United Kingdom.
  • This article is featured in “This Month in Anesthesiology,” page 1A.
    This article is featured in “This Month in Anesthesiology,” page 1A.×
  • This article has a video abstract.
    This article has a video abstract.×
  • Submitted for publication May 1, 2017. Accepted for publication August 8, 2017.
    Submitted for publication May 1, 2017. Accepted for publication August 8, 2017.×
  • Address correspondence to Dr. Smith: National Hospital for Neurology and Neurosurgery, University College London Hospitals, Queen Square, London WC1N 3BG, United Kingdom. martin.smith@ucl.ac.uk. Information on purchasing reprints may be found at www.anesthesiology.org or on the masthead page at the beginning of this issue. Anesthesiology’s articles are made freely accessible to all readers, for personal use only, 6 months from the cover date of the issue.
Article Information
Education / Review Article / Central and Peripheral Nervous Systems / Neurosurgical Anesthesia
Education   |   February 2018
Multimodality Neuromonitoring in Adult Traumatic Brain Injury: A Narrative Review
Anesthesiology 2 2018, Vol.128, 401-415. doi:10.1097/ALN.0000000000001885
Anesthesiology 2 2018, Vol.128, 401-415. doi:10.1097/ALN.0000000000001885
Abstract

Neuromonitoring plays an important role in the management of traumatic brain injury. Simultaneous assessment of cerebral hemodynamics, oxygenation, and metabolism allows an individualized approach to patient management in which therapeutic interventions intended to prevent or minimize secondary brain injury are guided by monitored changes in physiologic variables rather than generic thresholds. This narrative review describes various neuromonitoring techniques that can be used to guide the management of patients with traumatic brain injury and examines the latest evidence and expert consensus guidelines for neuromonitoring.