Skip Navigation


BJA Advance Access originally published online on October 29, 2004
British Journal of Anaesthesia 2005 94(3):259-270; doi:10.1093/bja/aei004
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
94/3/259    most recent
aei004v1
Right arrow E-Letters: Submit a response to the article
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (7)
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Springborg, J. B.
Right arrow Articles by Olsen, N. V.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Springborg, J. B.
Right arrow Articles by Olsen, N. V.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?


© The Board of Management and Trustees of the British Journal of Anaesthesia 2004. All rights reserved. For Permissions, please e-mail: journal.permissions{at}oupjournals.org

Trends in monitoring patients with aneurysmal subarachnoid haemorrhage

J. B. Springborg1,*, H.-J. Frederiksen1, V. Eskesen2 and N. V. Olsen1

1 Department of Neuroanaesthesia and 2 Department of Neurosurgery, The Neuroscience Centre, Copenhagen University Hospital (Rigshospitalet), Copenhagen, Denmark

* Corresponding author. E-mail: rh13842{at}rh.dk

After aneurysmal subarachnoid haemorrhage (SAH), the clinical outcome depends upon the primary haemorrhage and a number of secondary insults in the acute post-haemorrhagic period. Some secondary insults are potentially preventable but prevention requires prompt recognition of cerebral or systemic complications. Currently, several neuro-monitoring techniques are available; this review describes the most frequently used techniques and discusses indications for their use, and their value in diagnosis and prognosis. None of the techniques, when considered in isolation, has proved sufficient after SAH. Furthermore, the use of multi-modality monitoring is hampered by a lack of clinical studies that identify combinations of specific techniques in terms of clinical information and reliability. However, ischaemia at the tissue level can be detected by intracerebral microdialysis technique. Used together with the conventional monitoring systems, for example intracranial pressure measurements, transcranial Doppler ultrasound and modern neuro-imaging, direct assessment of biochemical markers by intracerebral microdialysis is promising in the advancement of neurointensive care of patients with SAH. A successfully implemented monitoring system provides answers but it also raises valuable new questions challenging our current understanding of the brain injury after SAH.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
D. M. Bailey, S. Taudorf, R. M. G. Berg, C. Lundby, J. McEneny, I. S. Young, K. A. Evans, P. E. James, A. Shore, D. A. Hullin, et al.
Increased cerebral output of free radicals during hypoxia: implications for acute mountain sickness?
Am J Physiol Regulatory Integrative Comp Physiol, November 1, 2009; 297(5): R1283 - R1292.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Neuroradiol.Home page
A.M. Laslo, J.D. Eastwood, P. Pakkiri, F. Chen, and T.Y. Lee
CT Perfusion-Derived Mean Transit Time Predicts Early Mortality and Delayed Vasospasm after Experimental Subarachnoid Hemorrhage
AJNR Am. J. Neuroradiol., January 1, 2008; 29(1): 79 - 85.
[Abstract] [Full Text] [PDF]

Home page
 Br J AnaesthHome page
M. M. Tisdall and M. Smith
Multimodal monitoring in traumatic brain injury: current status and future directions
Br. J. Anaesth., July 1, 2007; 99(1): 61 - 67.
[Abstract] [Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.