Non-invasive Multimodal Neuromonitoring in the ICU: The Role of Transcranial Doppler (TCD/TCCS)

Abstract

Points 1. Multimodality neuromonitoring (MMM) is both static and dynamic, evaluating cerebral structure, vasculature, and electrochemical function. 2. The various technologies included in MMM provide complementary information with various degrees of inter-modality correlation. 3. The use of MMM permits earlier therapeutic interventions that may prevent cerebral tissue hypoxia, metabolic stress, and irreversible cerebral damage. 4. The best method of monitoring, optimal physiological cutoffs, and threshold for treatments must be individualized for every acutely brain-injured patient. 5. Multimodality neuromonitoring technologies offer predictive value in prognosticating neurological outcomes.