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Multimodal monitoring

I will be giving high-impact, rapid-fire talks on assessing stroke symptoms, using EEG after acute brain injury, and advanced multimodality monitoring

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Multimodal monitoring

  1. 1. Multimodality Monitoring By Brandon foreman md @neurollama
  2. 2. a) Why MMM is better than a single measurement for inferring brain injury patterns? b) What are multimodality measurements that can be used clinically? c) What is the literature on safety and utility? >Objectives
  3. 3. >Rationale MAP 120 HR 105 ICP 24
  4. 4. >Rationale Labetalol 20mg
  5. 5. Fly by sight Fly by gauges
  6. 6. ICP MAP O2/PbtO2 EEG CBF Autoregulation ImageSource:GoogleImages
  7. 7. Mechanics MetabolismFunction >Definition
  8. 8. Parenchyma, 1200 cc CSF, 150 cc Blood, 150 cc >Pressure Ko 2013
  9. 9. Ko 2013,Aries 2012 ICPICP r = PRx >Pressure 0 5 10 15 20 25 30 35 40 45 50 0 20 40 60 80 100 Mean Arterial Pressure ICP(mmHg) 0 5 10 15 20 25 30 35 40 45 50 0 20 40 60 80 100 Mean Arterial Pressure ICP(mmHg)
  10. 10. PbtO2 >Metabolism Rosenthal 2008, De Georgia 2014
  11. 11. >Metabolism Oddo 2008
  12. 12. Mechanics MetabolismFunction >Integration
  13. 13. >MMM ICP PbtO2 ICT CBF Depth EEG
  14. 14. >MMM ICP + PbtO2 + Temp rCBF dEEG
  15. 15. >MMM
  16. 16. PbtO2 [Mean] (mmHg)
  17. 17. PbtO2 [Mean] (mmHg)
  18. 18. 193 MONTHS LATER
  19. 19. >end

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I will be giving high-impact, rapid-fire talks on assessing stroke symptoms, using EEG after acute brain injury, and advanced multimodality monitoring

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