Der erhöhte intrakranielle Druck – Multimodales Neuromonitoring – Indikationen und Methoden

Stefan Wolf; Farid Salih; Christoph Rosenthal

doi:10.1055/s-0032-1301380

AINS - Anästhesiologie · Intensivmedizin · Notfallmedizin · Schmerztherapie, Table of Contents

Anästhesiol Intensivmed Notfallmed Schmerzther 2012; 47(1): 40-49
DOI: 10.1055/s-0032-1301380

Fachwissen

Anästhesie & Intensivmedizin Topthema: Der erhöhte intrakranielle Druck

Der erhöhte intrakranielle Druck – Multimodales Neuromonitoring – Indikationen und Methoden

Multimodal neuromonitoring – indications and methodes

Stefan Wolf

,

Farid Salih

,

Christoph Rosenthal

Abstract

Zusammenfassung

Die Behandlung von Patienten mit schwerem Schädelhirntrauma und aneurysmatischer Subarachnoidalblutung zählt zu den anspruchsvollsten Aufgaben der Intensivmedizin. Die Mehrzahl der Patienten benötigt eine Analgosedierung zur Beatmung bei respiratorischem Versagen oder zur Behandlung eines erhöhten intrakraniellen Drucks. Neben der standardgemäßen ICP-Messung existierten mehrere weitere kontinuierliche apparative Überwachungsverfahren am Krankenbett. Der Beitrag diskutiert die 5 gebräuchlichsten Methoden und beleuchtet deren Stellenwert im multimodalen Neuromonitoring.

Abstract:

Managing patients after severe traumatic brain injury and aneurysmal subarachnoid hemorrhage is a challenging task of modern intensive care. Most patients do require sedation for mechanical ventilation due to respiratory distress or treatment of increased intracranial pressure. Besides standard ICP monitoring, a variety of continuous monitoring technologies for bedside use exists. The paper discusses the 5 methods most frequently used and their significance for multimodal neuromonitoring.

Schlüsselworte:

Schädelhirntrauma - Subarachnoidalblutung - multimodales Neuromonitoring - Gewebeoxymetrie - EEG

Key words:

traumatic brain injury - subarachnoid hemorrhage - multimodal neuromonitoring - brain tissue oxygenation - EEG

Full Text

References

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