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Tissue Oxygen Measurement in the Brain as a Part of Multimodal Monitoring: Case Reports


Authors: R. Gál 1;  M. Smrčka 2;  P. Štourač 1;  E. Straževská 1;  E. Neumann 2
Authors‘ workplace: Anesteziologicko-resuscitační oddělení FN Brno 1;  Neurochirurgická klinika LF MU a FN Brno 2
Published in: Cesk Slov Neurol N 2007; 70/103(5): 562-566
Category: Case Report

Práce podporována grantem IGA MZ ČR č. 8837-3.

Overview

Multimodal monitoring is of vital importance in neurointensive care. In recent years, multimodal monitoring has gradually incorporated also the measurement of tissue oxygen in the brain tissue (PbrO2). Measurement of (PbrO2) provides continuous quantitative data which contributes to the correct management of treatment and important prognostic and pathophysiological data for the detection of secondary brain injuries. Even though the PbrO2 value for hypoxia has not yet been unequivocally determined, there is apparently a direct link between low values of PbrO2 and higher morbidity and mortality. The article describes two cases of patients with severe craniocerebral injury and subarachnoidal bleeding where measurement of PbrO2 was applied. In the first patient, over-threshold values of PbrO2 were obtained after two hours of targeted treatment. In the second patient, the value of PbrO2 was higher than 15 mmHg for the whole period of measurement.

Key words:
brain tissue oxygenation – multimodal monitoring – craniocerebral injury – subarachnoidal bleeding


Sources

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Labels
Paediatric neurology Neurosurgery Neurology

Article was published in

Czech and Slovak Neurology and Neurosurgery

Issue 5

2007 Issue 5

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