Invasive Monitoring in Traumatic Brain Injury

Purpose of Review This review summarizes the most common trends in invasive monitoring of TBI along with recent developments on the subject. Recent Findings Even though ICP monitoring has a fundamental role in monitoring TBI patients, recent evidence is favoring CPP-directed care over ICP-directed care. Moreover, brain oxygenation and microdialysis techniques are considered to further improve the outcomes of the patients. As novel monitoring techniques are developing, integration and analysis of monitoring multiple data are required. Traumatic brain injury management has shown extensive progress along with improvements in monitoring modalities. The main purpose of using multimodal monitoring is to prevent secondary injury and to improve outcomes. A better understanding of the status of the brain facilitates providing the optimal treatment for the patient. Monitoring of intracranial pressure, cerebral autoregulation, and cerebral perfusion pressure, brain oxygenation, and cerebral microdialysis techniques are discussed.