Neurológia pre prax 6/2021

Multimodal monitoring in the patients after severe brain injury

Severe brain injuries are characterized with high morbidity and mortality. Only 40 % of the patients end the therapy with favourable outcome. The bad outcome is caused by the severity of primary brain insult. However, the therapy should be focused on an elimination of secondary – ischemic damage, resulting from the high ICP. The use of multimodal monitoring is an important part of the therapy. ICP monitoring remains the fundamental method, on the other hand, there are several promising methods, like tissue oximetry and microdialysis, which can improve the treatment result. These methods are more focused on a brain metabolism. More detailed and complex information from brain tissue facilitate right time adequate therapy which is believed to avoid ischemic brain damage.

Keywords: severe brain injuries, multimodal monitoring, seconadry brain injury