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Online ISSN 1827-1596
WHAT KIND OF BRAIN MONITORING
Beretta L., Cerri M., Narcisi S.
Ospedale «S. Raffaele» - Milano, Neurorianimazione
Monitoring intracranial pressure (ICP) and cerebral perfusion pressure (CPP) is fundamental in avoiding ischemic damage in severe head injury patients. Monitoring CPP can provide prompt informations: decide to start or to stop a therapy, control the effect, give indications for surgical treatment; unfortunately this monitoring is not able to understand the pathophysiology of the raised ICP. In the last years new techniques of monitoring were proposed with the aim to identiphy the problem and to target therapy: electrophysiological, biochemical, brain oxygenation, ultrasonography monitoring can be usefull in a concept of multimodality monitoring.