Intra-Operative Monitoring of Brain Tissue O 2 (PtiO 2 ) During Aneurysm Surgery

Gelabert-González, Miguel; Fernández-Villa, Juan; Ginesta-Galan, V.

doi:10.1007/s00701-002-0975-9

Cited by 36 publications

(17 citation statements)

References 14 publications

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“…Over the past decade, brain tissue oxygenation (PbtO 2 ) has been studied in the setting of traumatic brain injury, subarachnoid hemorrhage, and intra-operatively during aneurysm clipping [3][4][5]. The placement of the PbtO 2 probes has been associated with low morbidity, and reliability of data has been confirmed after the first hour of insertion [2,4,5].…”

Section: Discussionmentioning

confidence: 98%

“…Long-term follow-up has focused largely on the relationship between PbtO 2 and neurologic outcome in adult patients following TBI. These studies have generally demonstrated that decreased brain tissue oxygenation is associated with poor outcome and interventions to increase brain tissue oxygenation improve outcome [1][2][3][4][5][6][7][8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 98%

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Continuous Brain Tissue Oxygenation Monitoring in the Management of Pediatric Stroke

et al. 2011

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 98%

Continuous Brain Tissue Oxygenation Monitoring in the Management of Pediatric Stroke

et al. 2011

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“…On the other hand, they also underwent extensive scrutiny leading to identification of several drawbacks and questioning their routine use, particularly in clinical practice. Reported drawbacks included sensor failure (e.g., breakage, cable kinking, probe dislocation, abnormal readings), contamination, infection, hemorrhage, drift, and magnetic resonance imaging (MRI) incompatibility due to the presence of ferromagnetic components [74,[76][77][78][79][80][81][82][83][84][85][86][87][88].…”

Section: Earlier Commercial Solutionsmentioning

confidence: 99%

Fiber optic intensity-modulated sensors: a review in biomechanics

et al. 2012

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Fiber optic sensors have a set of properties that make them very attractive in biomechanics. However, they remain unknown to many who work in the field. Some possible causes are scarce information, few research groups using them in a routine basis, and even fewer companies offering turnkey and affordable solutions. Nevertheless, as optical fibers revolutionize the way of carrying data in telecommunications, a similar trend is detectable in the world of sensing. The present review aims to describe the most relevant contributions of fiber sensing in biomechanics since their introduction, from 1960s to the present, focusing on intensity-based configurations. An effort has been made to identify key researchers, research and development (R&D) groups and main applications.

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“…monitoring technology is also used intraoperatively during aneurysm surgery [45,52,[60][61][62][63][64], during surgery of cerebral arterio-venous malformation [60,65,66], functional stereotaxy [67], and during cerebral angiography [68]. It has also been used in patients with spontaneous intraparenchymal hemorrhage [69][70][71][72][73][74][75][76], ischemic stroke in children and adults [36,71,77], severe haemorrhagic stroke [78], and in silent infarcts after subarachnoid hemorrhage [79].…”

Section: Pbto2mentioning

confidence: 99%

“…The second largest group of publications comprises aneurysmal subarachnoid hemorrhage (SAH) [6,7,[41][42][43][44][45][46][47][48][49][50][51][52][53][54][55][56][57][58][59].…”

Section: Humanmentioning

confidence: 99%

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

Lang

Jaeger²

2013

TOCCMJ

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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.

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Intra-Operative Monitoring of Brain Tissue O 2 (PtiO 2 ) During Aneurysm Surgery

Abstract: Intra-operative monitoring of PtiO2 is a complimentary procedure to monitor cerebral perfusion and detect episodes of ischaemia. Given the rapid detection of these events, therapeutic intervention may be initiated before irreversible neuronal damage occurs.

Cited by 36 publications

References 14 publications

Continuous Brain Tissue Oxygenation Monitoring in the Management of Pediatric Stroke

Continuous Brain Tissue Oxygenation Monitoring in the Management of Pediatric Stroke

Fiber optic intensity-modulated sensors: a review in biomechanics

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

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