Multimodal Monitoring in the Pediatric Intensive Care Unit: New Modalities and Informatics Challenges

被引：12
|
作者：
Grinspan, Zachary M. [1 ,2 ,3 ,4 ]
Pon, Steven [2 ,4 ]
Greenfield, Jeffrey P. [4 ,5 ]
Malhotra, Sameer [3 ,4 ,6 ]
Kosofsky, Barry E. [2 ,4 ]
机构：
[1] Weill Cornell Med Coll, Dept Healthcare Policy & Res, New York, NY 10065 USA
[2] Weill Cornell Med Coll, Dept Pediat, New York, NY 10065 USA
[3] Weill Cornell Med Coll, Ctr Healthcare Informat & Policy, New York, NY 10065 USA
[4] New York Presbyterian Hosp, New York, NY USA
[5] Weill Cornell Med Coll, Dept Neurol Surg, New York, NY 10065 USA
[6] Weill Cornell Med Coll, Phys Org, New York, NY 10065 USA
来源：
SEMINARS IN PEDIATRIC NEUROLOGY | 2014年 / 21卷 / 04期
关键词：
TRAUMATIC BRAIN-INJURY; NEAR-INFRARED SPECTROSCOPY; CEREBRAL-BLOOD-FLOW; CEREBROVASCULAR PRESSURE REACTIVITY; DIGITAL TREND ANALYSIS; INTRACRANIAL-PRESSURE; NEUROCRITICAL CARE; SEIZURE DETECTION; CLINICAL INFORMATION; TISSUE OXYGENATION;
D O I：
10.1016/j.spen.2014.10.005
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
We review several newer modalities to monitor the brain in children with acute neurologic disease in the pediatric intensive care unit, such as partial brain tissue oxygen tension (PbtO2), jugular venous oxygen saturation (SjvO2), near infrared spectroscopy (NIRS), thermal diffusion measurement of cerebral blood flow, cerebral microdialysis, and EEG. We then discuss the informatics challenges to acquire, consolidate, analyze, and display the data. Acquisition includes multiple data types: discrete, waveform, and continuous. Consolidation requires device interoperability and time synchronization. Analysis could include pressure reactivity index and quantitative EEG. Displays should communicate the patient's current status, longitudinal and trend information, and critical alarms. (C) 2014 Elsevier Inc. All rights reserved.
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页码：291 / 298
页数：8
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