Approaches to Multimodality Monitoring in Pediatric Traumatic Brain Injury

Brian Appavu; Brian T Burrows; Stephen Foldes; P David Adelson

doi:10.3389/fneur.2019.01261

Approaches to Multimodality Monitoring in Pediatric Traumatic Brain Injury

Front Neurol. 2019 Nov 26:10:1261. doi: 10.3389/fneur.2019.01261. eCollection 2019.

Authors

Brian Appavu^{1

2}, Brian T Burrows¹, Stephen Foldes^{1

2}, P David Adelson^{1

2}

Affiliations

¹ Barrow Neurological Institute, Phoenix Children's Hospital, Phoenix, AZ, United States.
² Department of Child Health, University of Arizona College of Medicine - Phoenix, Phoenix, AZ, United States.

Abstract

Traumatic brain injury (TBI) is a leading cause of morbidity and mortality in children. Improved methods of monitoring real-time cerebral physiology are needed to better understand when secondary brain injury develops and what treatment strategies may alleviate or prevent such injury. In this review, we discuss emerging technologies that exist to better understand intracranial pressure (ICP), cerebral blood flow, metabolism, oxygenation and electrical activity. We also discuss approaches to integrating these data as part of a multimodality monitoring strategy to improve patient care.

Keywords: autoregulation; multimodality monitoring; neurocritical care; pediatrics; traumatic brain injury.

Publication types

Review