+1 215-283-0860   |    This email address is being protected from spambots. You need JavaScript enabled to view it.

Patient: This patient was a 39 year old man with left side contusions, traumatic subarachnoid hemorrhage, and subdural hemorrhage following a motor vehicle collision.

Monitored Data: A CNS Envision display was configured to show heart rate (HR), mean arterial blood pressure (ABP[Mean]), intracranial pressure (ICP), cerebral perfusion pressure (CPP), and brain tissue oxygen (PbtO2), alongside the recorded scalp EEG. One hour of trend data is displayed. Another CNS Envision display was configured to show ICP, CPP, and Density Spectral Array (DSA) for selected EEG channels. Four hours of data are displayed.

Clinical Scenario:

  • The initial Glasgow Coma Score was 10.
  • Immediately upon admission to the ICU, the patient required airway support for facial injuries and oral bleeding.
  • The hospital course was complicated by renal failure, acute respiratory syndrome and refractory ICP.
  • Doses of Labetalol (20mg) were administered to reduce ICP by lowering the systemic blood pressure.
  • Whereas the first dose was well tolerated, the subsequent ones were not and resulted in a collateral lowering of CPP (Figure 2).
  • Figure 3 shows a progressive deterioration of EEG traces.
  • Renal failure necessitated continuous renal replacement therapy (CRRT). Following initiation of CRRT, CPP started declining and the scalp EEG frequency content progressively deteriorated (Figure 4).

FIGURE 1: CT scan of the patient at admission.

CT scan

FIGURE 2: CNS Envision display shows the effect of the first dose (green arrow) and last dose (orange arrow) of Labetalol on the patient's physiology.

Effect of first and last dose of Labetalol

FIGURE 3: CNS Envision display shows the progressive deterioration of EEG traces.

Deterioration of EEG traces

FIGURE 4: CNS Envision display shows the decline of CPP and the EEG deterioration following the initiation of continuous renal replacement therapy (indicated by the red marker).

Decline of CPP and EEG deterioration

Discussion:

In this case, CNS Envision displayed how pharmacological and therapeutic interventions can affect cerebral physiology and how their interpretation needs to happen in the context of multimodal and EEG monitoring. This highlights the importance of concurrently monitoring and analyzing brain electrical activity and physiology.

Reference: Courtesy of Brandon Foreman, MD; University of Cincinnati. Used with permission. Educational purposes only.

30+

supported devices

See the devices

200+

measurements collected

Get the list

20+

years caring for the brain

Learn about us

The Smart Neuro ICU

Bring connected data to your ICU

Don't let your data stop at the bedside. Make multimodal patient monitor data available for remote review, annotation, and archiving with the CNS Monitor. Export data to the EMR or other software for further analysis.

See the big picture

Smart Neuro ICU

Who we help

Intensivists

The CNS Monitor provides the big picture of brain status that you need to make informed decisions.

Intensivists

Nurses

The CNS Monitor supports the front line of care with intuitive displays, convenient access to prior data, and instructional tools.

Nurses

Neurophysiologists

The CNS Monitor provides continuous EEG (cEEG) monitoring along with real-time multimodal neuromonitoring.

Neurophysiologists

Neonatal Caregivers

Infants need specialized care, and the CNS Monitor was designed to deliver just that.

Neonatal Caregivers

Hospital Leadership

The CNS Monitor combines a full-function, continuous EEG machine, data management system, and a bedside "brain vital signs monitor" in one product, all for the price of an EEG machine.

Hospital Leadership

Researchers

The modular design of the CNS Monitor makes it easy to configure for a wide range of research applications involving data collection and integration.

Researchers

IT Personnel

The CNS Monitor's flexibility ensures compatibility with your existing network infrastructure.

IT Personnel

Clinical Engineering Personnel

Moberg works with your planners to ensure your new ICU is wired for the future of data management in neurocritical care.

Clinical Engineering Personnel

Support & Learning

Webinars

Watch educational webinars hosted by Moberg ICU Solutions to stay up to date on hot topics in neurocritical care.

Customer Success Stories

Hear what our customers have to say about their experiences with the CNS.

White Papers

Download white papers on multimodal neuromonitoring, informatics, and more.

Case Studies

Review case studies from users of the CNS Monitor and CNS Envision.

Newsletter

Stay up to date with news and developments from the frontiers of neuromonitoring.

Support

Access customer support materials including user manuals and technical bulletins.

Request a Demo

See a firsthand demo of the multimodal data collection capabilities of the CNS Monitor.

Events

News

Moberg’s Data Integration Solutions Featured in AANS Presidential Address

Ambler, PA - April 15, 2019 - In her opening address, Dr. Shelly Timmons, President of the American Association of Neurological Surgeons (AANS), gave the Presidential Address on data connectivity and integration to thousands of conference attendees. Highlighted in her presentation were Moberg’s solutions for multimodal data integration, the result of years of hard work and innovation in overcoming the challenges of collecting and unifying multimodal data.

Moberg Launches a New Informatics Division

Ambler, PA - August 8, 2018 - We are pleased to announce a new division, Moberg Informatics, that will focus on developing a platform for advanced analytics and data exploration as well as for decision support. In collaboration with multiple organizations, our mission is to facilitate the development of a more meaningful medical record for the brain.

CNS Monitor Software Update Brings Four New Device Interfaces and Other Features

Ambler, PA - July 31, 2018 - Moberg ICU Solutions has released a software update for the CNS Monitor that adds support for four new device interfaces along with a number of other features and improvements.