Skip to main content

Zerebrales Monitoring, neurophysiologisches Monitoring

  • Chapter
Die Intensivmedizin

Zusammenfassung

Eine zerebrale Hypoxie bzw. Ischämie, z. B. durch arterielle Hypoxämie, Blutdruckabfall oder intrakranielle Drucksteigerung, erhöht bei zerebral geschädigten Patienten das Risiko sekundärer Hirnschäden und verschlechtert dadurch das klinische Ergebnis oder Outcome.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Berger C, Sakowitz OW, Kiening KL, Schwab S (2005) Neurochemical monitoring of glycerol therapy in patients with ischemic brain edema. Stroke: 36: e4–6

    Article  CAS  Google Scholar 

  2. Cruz J, Miner ME, Allen SJ, Alves WM, Gennarelli TA (1990) Continuous monitoring of cerebral oxygenation in acute brain injury: injection of mannitol during hyperventilation. J Neurosurg 73: 725–730

    Article  PubMed  CAS  Google Scholar 

  3. Dearden NM, Midgley S (1993) Technical considerations in continuous jugular venous oxygen saturation measurement. Acta Neurochir Suppl (Wien) 59: 91–97

    CAS  Google Scholar 

  4. Goetting MG. and Preston G (1990) Jugular bulb catheterization: experience with 123 patients. Crit Care Med 18: 1220–1223

    Article  PubMed  CAS  Google Scholar 

  5. Gopinath SP, Robertson CS, Grossman RG, Chance B (1993) Near-infrared spectroscopic localization of intracranial hematomas. J Neurosurg 79: 43–47

    Article  PubMed  CAS  Google Scholar 

  6. Hantson SP. and Mathieu P (1992) Usefulness of cerebral venous monitoring through jugular bulb catheterization for the diagnosis of brain death (letter). Intensive Care Med 18: 59

    Article  PubMed  CAS  Google Scholar 

  7. Hillered L, Vespa PM, Hovda DA (2005) Translational neurochemical research in acute human brain injury: the current status and potential future for cerebral microdialysis. J Neurotrauma 22: 3–41

    Article  PubMed  Google Scholar 

  8. Jaeger M, Soehle M, Schuhmann MU, Winkler D, Meixensberger J (2005) Correlation of continuously monitored regional cerebral blood flow and brain tissue oxygen. Acta Neurochir (Wien) 147: 51–56

    Article  CAS  Google Scholar 

  9. Jobsis FF (1977) Noninvasive, infrared monitoring of cerebral and myocardial oxygen sufficiency and circulatory parameters. Science 198: 1264–1267

    Article  PubMed  CAS  Google Scholar 

  10. Kiening KL, Hartl R, Unterberg AW, Schneider GH, Bardt T, Lanksch WR (1997) Brain tissue pO2-monitoring in comatose patients: implications for therapy. Neurol Res 19: 233–240

    PubMed  CAS  Google Scholar 

  11. Kiening KL, Schneider GH, Bardt TF, Unterberg AW, Lanksch WR (1998) Bifrontal measurements of brain tissue-pO2 in comatose patients. Acta Neurochir Suppl 71: 172–173

    PubMed  CAS  Google Scholar 

  12. Kiening KL, Unterberg AW, Bardt TF, Schneider GH, Lanksch WR (1996) Monitoring of cerebral oxygenation in patients with severe head injuries: brain tissue pO2 versus jugular vein oxygen saturation. J Neurosurg 85: 751–757

    Article  PubMed  CAS  Google Scholar 

  13. Lundberg N, Troupp H, Lorin H (1965) Continuous recording of the ventricular-fluid pressure in patients with severe acute traumatic brain injury. A preliminary report. J Neurosurg 22: 581–590

    Article  PubMed  CAS  Google Scholar 

  14. Meixensberger J, Baunach S, Amschler J, Dings J, Roosen K (1997) Influence of body position on tissue- pO2, cerebral perfusion pressure and intracranial pressure in patients with acute brain injury. Neurol Res 19: 249–253

    PubMed  CAS  Google Scholar 

  15. Persson L, Valtysson J, Enblad P, Warme PE, Cesarini K, Lewen A, Hillered L (1996) Neurochemical monitoring using intracerebral microdialysis in patients with subarachnoid hemorrhage. J Neurosurg 84: 606–616

    Article  PubMed  CAS  Google Scholar 

  16. Rosner MJ, Daughton S (1990) Cerebral perfusion pressure management in head injury. J Trauma 30: 933–940

    Article  PubMed  CAS  Google Scholar 

  17. Sarrafzadeh A, Haux D, Kuchler I, Lanksch WR, Unterberg AW (2004) Poorgrade aneurysmal subarachnoid hemorrhage: relationship of cerebral metabolism to outcome. J Neurosurg 100: 400–406

    Article  PubMed  Google Scholar 

  18. Sarrafzadeh AS, Haux D, Ludemann L, Amthauer H, Plotkin M, Kuchler I, Unterberg AW (2004) Cerebral ischemia in aneurysmal subarachnoid hemorrhage: a correlative microdialysis-PET study. Stroke 35: 638–643

    Article  PubMed  Google Scholar 

  19. Sarrafzadeh AS, Sakowitz OW, Kiening KL, Benndorf G, Lanksch WR, Unterberg AW (2002) Bedside microdialysis: a tool to monitor cerebral metabolism in subarachnoid hemorrhage patients? Crit Care Med 30: 1062–1070

    Article  PubMed  Google Scholar 

  20. Schneider GH, Sarrafzadeh AS, Kiening KL, Bardt TF, Unterberg AW, Lanksch WR (1998) Influence of hyperventilation on brain tissue-pO2, pCO2, and pH in patients with intracranial hypertension. Acta Neurochir Suppl 71: 62–65

    Google Scholar 

  21. Sheinberg M, Kanter MJ, Robertson CS, Contant CF, Narayan RK, Grossman RG (1992) Continuous monitoring of jugular venous oxygen saturation in head-injured patients. J Neurosurg 76: 212–217

    Article  PubMed  CAS  Google Scholar 

  22. Ungerstedt U (1991) Microdialysis–principles and applications for studies in animals and man. J Intern Med 230: 365–373

    Article  PubMed  CAS  Google Scholar 

  23. Unterberg AW, Kiening KL, Hartl R, Bardt T, Sarrafzadeh AS, Lanksch WR (1997) Multimodal monitoring in patients with head injury: evaluation of the effects of treatment on cerebral oxygenation. J Trauma 42: S32–37

    Article  PubMed  CAS  Google Scholar 

  24. Vajkoczy P, Horn P, Thome C, Munch E, Schmiedek P (2003) Regional cerebral blood flow monitoring in the diagnosis of delayed ischemia following aneurysmal subarachnoid hemorrhage. J Neurosurg 98: 1227–1234

    Article  PubMed  Google Scholar 

  25. Vajkoczy P, Roth H, Horn P, Lucke T, Thome C, Hubner U, Martin GT, Zappletal C, Klar E, Schilling L, Schmiedek P (2000) Continuous monitoring of regional cerebral blood flow: experimental and clinical validation of a novel thermal diffusion microprobe. J Neurosurg 93: 265–274

    Article  PubMed  CAS  Google Scholar 

  26. van Santbrink H, Maas AI, Avezaat CJ (1996) Continuous monitoring of partial pressure of brain tissue oxygen in patients with severe head injury. Neurosurgery 38: 21–31

    Article  PubMed  Google Scholar 

  27. Woodman Tand Roberstoan CS (1996) Jugular venous oxygen saturation monitoring. In: Narayan RK, Wilberger JE, Povlishock JT (eds) Neurotrauma. McGraw-Hill, New York, pp 527–529

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer Medizin Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Kiening, K.L., Sarrafzadeh, A.S. (2011). Zerebrales Monitoring, neurophysiologisches Monitoring. In: Burchardi, H., Larsen, R., Marx, G., Muhl, E., Schölmerich, J. (eds) Die Intensivmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-16929-8_16

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-16929-8_16

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-16928-1

  • Online ISBN: 978-3-642-16929-8

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics