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Hilz, MJ; Litscher, G; Weis, M; Claus, D; Druschky, KF; Pfurtscheller, G; Neundörfer, B.
Continuous multivariable monitoring in neurological intensive care patients--preliminary reports on four cases.
Intensive Care Med. 1991; 17(2):87-93 Doi: 10.1007/BF01691429 (- Case Report)
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Co-authors Med Uni Graz
Litscher Gerhard
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Abstract:
Evoked potential monitoring is a standard examination method in neurological intensive therapy units. Previously, multimodality observation was only possible in follow-up examinations. First experience with a new bed-side system continuously monitoring 12 neurophysiological and clinical parameters is reported. It consists of a personal computer and various stimulation units. EEG activity, median nerve somatosensory evoked potentials (SEPs) and brainstem auditory evoked potential (BAEPs) are recorded. Additionally, EEG spectral band power, heart rate, heart rate variability, intracranial pressure, body temperature, expiratory PCO2, blood pressure and transcutaneously measured oxygenation can be monitored. This paper reports on 4 exemplary cases of the 33 patients we have monitored to date, illustrating the principles and main advantages of the system. The system was developed to support the observation of ICU patients as well as to aid therapeutic decisions. It supports the clinical determination of brain death by specifying the deterioration of various neurological systems.
Find related publications in this database (using NLM MeSH Indexing)
Aged -
Brain Death - physiopathology
Electroencephalography - physiopathology
Evoked Potentials, Auditory, Brain Stem - physiopathology
Evoked Potentials, Somatosensory - physiopathology
Female - physiopathology
Humans - physiopathology
Intensive Care Units - physiopathology
Male - physiopathology
Middle Aged - physiopathology
Monitoring, Physiologic - methods
Neurology - methods
Research Support, Non-U.S. Gov't - methods

Find related publications in this database (Keywords)
CONTINUOUS MULTIVARIABLE MONITORING
MULTIMODALITY EVOKED POTENTIALS
BRAIN DEATH
COMA
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