SCCM Resource Library-Multimodal Monitoring Outside the Neuro-ICU

Video Transcription

Video Summary

In this video, Dr. Sahar Safar and Dr. Arti Sarwal discuss multimodal neuromonitoring outside of the ICU. They explain that multimodal neuromonitoring involves integrating various monitoring modalities, such as EEG, transcranial dopplers, brain tissue oxygenation monitors, and more, with systemic monitoring to provide comprehensive information on brain health. They highlight that the most common non-invasive form of neuromonitoring is continuous EEG monitoring, which can be done spot-wise or continuously for several hours or days. They also discuss the use of non-invasive measures of measuring blood flow, such as transcranial dopplers, and the potential of pupillometry as a helpful tool in identifying early pupillary changes. Invasive monitoring options include intracranial pressure (ICP) monitors, brain tissue oxygenation monitors, microdialysis, and depth electrodes. The speakers note that the measurable impact of neuromonitoring on outcomes is yet to be defined, and highlight the need for larger trials and studies that integrate all available monitoring modalities. They also discuss the challenges of integrating and analyzing the data in real-time, as well as the cost and infrastructure requirements of implementing neuromonitoring. Dr. Safar mentions the potential use of AI and EMR in improving the integration and analysis of neuromonitoring data. In conclusion, they highlight the need for future research and standardized approaches to neuromonitoring.

Asset Subtitle

Neuroscience, Professional Development and Education, 2022

Asset Caption

The Society of Critical Care Medicine's Critical Care Congress features internationally renowned faculty and content sessions highlighting the most up-to-date, evidence-based developments in critical care medicine. This is a presentation from the 2022 Critical Care Congress held from April 18-21, 2022.

Meta Tag

Content Type Presentation

Knowledge Area Neuroscience

Knowledge Area Professional Development and Education

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Tag Neurology

Tag Telemedicine eICU

Year 2022

Keywords

multimodal neuromonitoring

outside of the ICU

EEG monitoring

transcranial dopplers

brain tissue oxygenation monitors

non-invasive measures

pupillometry

intracranial pressure monitors

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