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September 2011 |
Vol. 2 No. 2 |
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In this edition of The Neuroscience Monitor, we take a look at some of the Fall 2011 meetings you won't want to miss, suggest some recent articles and books that caught our interest, and share a fascinating case study titled Pressure Passivity Suggesting Loss of Autoregulation. |
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9th Annual Neurocritical Care Society Meeting |
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The theme this year’s Neurocritical Care Society meeting is “Improving the Practice of Neurocritical Care.” With this goal in mind, CNS Technology is delighted to be involved in the hands-on workshops Continuous EEG and Intracranial Monitors: Placement/ Interpretation. In the Continuous EEG workshop, we will use the CNS Monitor to demonstrate the value to the ICU of
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continuous EEG monitoring in coordination with the collection other neurological measurements. For the Intracranial Monitors workshop, we will be present alongside partners Hemedex and Dipylon in order to demonstrate data collection by the CNS Monitor from their products. |
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Cleveland's Neurocritical Care Weekend
Friday, October 21, 2011 kicks off a weekend of events that prove the cutting-edge of neuroscience and critical care is not so different from the edginess of rock and roll. The lineup for Neurocritical Care 2011: Across the Universe, directed by Michael De Georgia, MD of University Hospitals, includes the 9th Annual Cleveland Neurocritical Care and Stroke Conference, 4th Annual CWRU Critical Care Bioinformatics, 3rd Annual CWRU Transcranial Doppler Ultrasound, and 2nd Annual Cleveland Music and Medicine Symposium.
Dick Moberg, founder and president of Moberg Research (affiliate of CNS Technology), will take the stage to share his knowledge on the topic of data integration and informatics architecture. Look at the lineup to see the other headliners in the show. The Neurocritical Care and Stroke Conference and Cleveland Music and Medicine Symposium are available online as well as onsite, so there's no excuse for missing these extraordinary events.
Upcoming Events for Fall 2011
9th Annual Neurocritical Care Society Meeting in Montreal, QC, Canada
September 21 - 24
Saving the Brain: 4th Annual Neuroscience Symposium in Santa Barbara, California
September 24
Congress of Neurological Surgeons 2011 Annual Meeting in Washington, DC
October 1 - 6
Society for Neuroscience in Anesthesiology and Critical Care in Chicago, IL
October 13 - 14
Neurocritical Care 2011: Across the Universe in Cleveland, OH
October 21 - 22 |
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Multimodal Monitoring and Neurocritical Care Bioinformatics
J. Claude Hemphill, Peter Andrews & Michael De Georgia
Nature Reviews Neurology 7, 451-460 (August 2011)
Multimodal Brain Monitoring Reduces Major Neurological Complicatoins in Cardiac Surgery
Zanatta P, Benvenuti SM, Bosco E, Baldanzi F, Palomba D, Valfre C.
J Cardiothorac Vasc Anesth. 2011 Jul 27. [Epub ahead of print]
Detection of cerebral compromise with multimodality monitoring in patients with subarachnoid hemorrhage
Chen HI, Stiefel MF, Oddo M, Milby AH, Maloney-Wilensky E, Frangos S, Levine JM, Kofke WA, LeRoux PD.
Neurosurgery. 2011 Jul;69(1):53-63; discussion 63.
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Pressure Passivity Suggesting Loss of Autoregulation
Patient: This elderly female patient suffered a ruptured internal carotid artery aneurysm resulting in a large subarachnoid hemorrhage.
Monitored Data: A trend display on the CNS Monitor was configured to show MAP, cerebral perfusion, brain tissue oxygen (PbtO2), CPP, ICP, and SpO2.
Discussion: Multimodal Monitoring using the CNS-100 demonstrates a decrease in MAP, correlating with a decrease in CPP, perfusion, and brain tissue oxygen (PbtO2). The patient’s cerebral perfusion appears to be dependent on her MAP suggesting an autoregulation problem. Notice that the ICP is steady throughout the recording. Without multimodal monitoring, changes in intracranial dynamics and treatment opportunities may be missed.
Case Courtesy of Tracey Berlin RN, Univ. of New Mexico Hospital, Albuquerque
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Copyright © 2011, Moberg Research, Inc.
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