International consensus on the monitoring of cerebral oxygen tissue pressure in neurocritical patients

Neurocirugia (Astur : Engl Ed). 2020 Jan-Feb;31(1):24-36. doi: 10.1016/j.neucir.2019.08.003. Epub 2019 Nov 8.
[Article in English, Spanish]

Abstract

Continuous monitoring of cerebral oxygenation and its application to the management of the severe neurological patient is a challenge for the management of patients with acute critical brain damage. Although several techniques have been described for monitoring brain, brain tissue oxygen monitoring provides relevant information about oxygen levels of brain tissue. However, the development of this technique has been associated with the need to answer not only some technical aspects of it as well as the meaning of the changes of the cerebral oxygenation in the neurocritical patient. The consensus document responds to various questions related to the monitoring of cerebral oxygenation by means of a cerebral oxygen tissue pressure sensor. For this purpose, a list of questions was prepared and a reviewed of the medical literature was made. The quality of the evidence and the degree of recommendation was evaluated using the GRADE methodology.

Keywords: Brain tissue oxygenation; Cerebral tissue oxygen pressure; Hemorragia subaracnoidea; Oxigenación tisular cerebral; Presión tisular cerebral de oxígeno; Subarachnoid hemorrhage; Traumatic Brain Injury; Traumatismo craneoencefálico.

MeSH terms

  • Brain / physiology
  • Brain Injuries*
  • Consensus
  • Humans
  • Intracranial Pressure
  • Monitoring, Physiologic
  • Oxygen*

Substances

  • Oxygen