Kontinuierliches Monitoring bei Patienten mit ausgedehnten Schlaganfällen Stellenwert der Überwachung auf neurologischen Intensivstationen

Abstract

One of the main functions of neurologic intensive care units (NICU) is to provide continuous monitoring of critically ill patients. Space-occupying stroke is a disease with high mortality. While clinical assessment of these comatose patients is difficult, additional monitoring is of key importance. With this information, intensive care physicians may recognize pathophysiologic changes earlier, thus making the right timing of therapeutic interventions easier. Every patient admitted to the NICU receives a basic monitoring which combines noninvasive and invasive methods. Additionally, some specialized centers are exploring the new method of multimodal monitoring. This allows continuous monitoring of physiologic parameters of brain function and compliance. The following article attempts to explain methods of neurointensive care monitoring and its importance for the treatment of stroke. Furthermore, we describe new developments in patient monitoring.

Quantitative EEG Correlates of Low Cerebral Perfusion in Severe Stroke

“…The field of multimodality brain monitoring is facing increasing challenges with the application of invasive techniques such as continuous measurement of cerebral blood flow, cerebral oxygenation, and cerebral microdialysis in stroke patients [41][42][43][44][45]. In contrast to these modalities, EEG is a non-invasive technique that offers the unique possibility to directly monitor the effect of manipulation of cerebral blood flow or altered oxygenation on neuronal function.…”