الفهرس 
NeuroanatomyOnly 14 pages are availabe for public view
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Abstract
The complexity of the post-injured brain requires comprehensive and complementary strategies for successful monitoring. Multimodal Monitoring is more descriptive than unimodal monitoring.
Regional monitors may fail to provide information relevant to a remote portion of the brain. Global monitors often lack the capacity to detect a local event lost in the noise of the aggregate signal. A cerebral blood flow monitor may verify adequate perfusion but tell nothing of the accumulation of oxygen-free radicals. EEG may exclude epileptic events, but provide little information regarding the brain’s auto regulatory state.
As a result, the value of these monitors is optimized when used combined. While current monitoring protocols recognize and account for this observation, there is still much to be learned regarding the appropriate regional placement of monitors and the most effective combinations of neuro-monitoring devices for each disease state.
Many neuro-monitoring techniques are currently being utilized at their most basic levels. The obstacles associated with assessment of raw EEG data are being addressed with improved event detection software and greater utilization of compressed spectral array analysis. Similarly, the standard microdialysis analyte profiles of glucose, lactate, pyruvate, glutamate, and glycerol can be expanded to include quantification of anticonvulsants, chemotherapeutic agents, inflammatory markers, and cytokines. Expansion of neuro-monitoring capacity is a key to growth and widened utilization.