Clinical Application of the Multidimensional Neurological Monitoring System and the Cerebrosystemic Hemodynamic Profile for Critically Ill Neurosurgical Patients
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概要
- 論文の詳細を見る
We have developed two monitoring systems, which we have applied to 78 critically ill patients in our neurosurgical intensive care unit. The first, a multidimensional neurological monitoring system employing a signal processor, serially and automatically monitors body temperature, auditory brainstem response (ABR), electroencephalographic power spectrum, intracranial pressure (ICP) and cerebral perfusion pressure (CPP). The second, which we have termed the cerebrosystemic hemodynamic profile, measures ICP, CPP, and ten other cardiovascular parameters. Using the multidimensional neurological monitoring system, we observed progressive loss of ABR waves in a case of brain death, transient prolongation of the wave V following a steep increase in ICP in a patient with a reruptured aneurysm, and gradual prolongation of ABR waves with an increase in ICP in a patient with transtentorial herniation. This system comprehensively monitors supra- and infratentorial conditions and provides, in real time, objective information concerning pathophysiological processes within the cranium. The cerebrosystemic hemodynamic profile clearly delineates the optimal cardiovascular conditions for control of increased ICP, especially in the context of barbiturate therapy and severe fluid imbalance. Used in combination, these two monitoring systems may provide valuable guidance for treatment by virtue of their ability to accurately evaluate the pathophysiological processes that occur following severe brain damage.
- 日本脳神経外科学会の論文
- 1988-01-15
著者
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TANAKA Hiroshi
Department of Pediatrics, Hirosaki University School of Medicine
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Sakamoto Tetsuya
Department of Emergency Medicine, Trauma and Critical Care Center, Teikyo University School of Medic
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TAKAKURA Kintomo
Department of Neurosurgery, Faculty of Medicine, University of Tokyo
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Mii Koji
Department of Neurosurgery,University of Tokyo
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Takakura Kintomo
Department Of Neurosurgery Faculty Of Medicine University Of Tokyo
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Mii Koji
Department Of Emergency Medicine Faculty Of Medicine University Of Tokyo
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KAWAHARA Nobutaka
Department of Neurosurgery, University of Tokyo Hospital
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Sasaki Masaru
Department Of Emergency Medicine Faculty Of Medicine University Of Tokyo
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Sasaki Masaru
Department Of Neurosurgery Showa General Hospital
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Tanaka Hiroshi
Department Of Cardiology Jichi Medical School
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ARUGA Tohru
Department of Neurosurgery, Showa General Hospital
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Sakamoto Tetsuya
Department Of Neurosurgery Showa General Hospital
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Sasaki Masaru
Research And Development Department Koito Manufacturing Co. Ltd.
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Aruga Tohru
Department Of Neurosurgery Showa General Hospital
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Aruga Tohru
Department Of Emergency And Critical Care Medicine Showa University School Of Medicine
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Kawahara Nobutaka
Department Of Emergency Medicine Faculty Of Medicine University Of Tokyo:department Of Neurosurgery
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Takakura Kintomo
Department Of Neurosuegery National Cancer Center Hospotal
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Sasaki Masaru
Department Of Electrical Communications Faculty Of Engineering Tohoku University
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Tanaka Hiroshi
Department Of Neurosurgery Showa General Hospital
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Tanaka Hiroshi
Department Of Analytical Chemistry Faculty Of Pharmaceutical Sciences Hoshi University
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Sakamoto Tetsuya
Department Of Emergency Medicine Teikyo University School Of Medicine
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MII Koji
Department of Emergency Medicine, Faculty of Medicine, University of Tokyo
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