Multimodal monitoring in the pediatric intensive care unit: New modalities and informatics challenges Review uri icon

Overview

MeSH Major

  • Brain
  • Intensive Care Units, Pediatric
  • Monitoring, Physiologic

abstract

  • We review several newer modalities to monitor the brain in children with acute neurologic disease in the pediatric intensive care unit, such as partial brain tissue oxygen tension (PbtO2), jugular venous oxygen saturation (SjvO2), near infrared spectroscopy (NIRS), thermal diffusion measurement of cerebral blood flow, cerebral microdialysis, and EEG. We then discuss the informatics challenges to acquire, consolidate, analyze, and display the data. Acquisition includes multiple data types: discrete, waveform, and continuous. Consolidation requires device interoperability and time synchronization. Analysis could include pressure reactivity index and quantitative EEG. Displays should communicate the patient's current status, longitudinal and trend information, and critical alarms.

publication date

  • January 2014

Research

keywords

  • Review

Identity

Language

  • eng

Digital Object Identifier (DOI)

  • 10.1016/j.spen.2014.10.005

PubMed ID

  • 25727511

Additional Document Info

start page

  • 291

end page

  • 8

volume

  • 21

number

  • 4