TITLE:
Monitoring Brain and Spinal Cord Metabolism and Function
AUTHORS:
Pierre Pandin, Marie Renard, Alessia Bianchini, Philippe Desjardin, Luc Van Obbergh
KEYWORDS:
Brain, Central Nervous System Monitoring, Metabolism, Function
JOURNAL NAME:
Open Journal of Anesthesiology,
Vol.4 No.6,
June
25,
2014
ABSTRACT: Monitoring the metabolism and function of the central nervous system not
only is an old idea but also is a topic that
is of increasing interest to the technological evolution. Beside the
optimization of cerebral and spinal cord perfusion and the preservation
of vasoreactivity to ensure the viability of cerebral tissues and structures,
we want to know more and more about the real intimate situation of these organs
in real time at the patient’s bedside. To this end, several tracks have been
explored during the two last decades, leading to the development of numerous
concepts and the conception of various monitoring systems. One of the main
problems is to characterize the respective strong points and weaknesses of
those ones and to conclude regarding their individual relevance and value in
current clinical practice. It is more and more clear that the combination of
different categories of monitoring is a way to try to find the most valuable
technological compromise, to increase the
chance of prediction or of early detection of intercurrent deleterious events corresponding to the concept of multimodality. The intraoperative period and the
intensive care goals and targets are appreciably different. This is the reason
for the attempt to define different and distinct sets of goals and targets for the
intraoperative anesthetic setting and for the intensive care unit.