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Sturnegk, Patrik
Publications (3 of 3) Show all publications
Sturnegk, P., Mellergård, P., Yonas, H., Theodorsson, A. & Hillman, J. (2007). Potential use of quantitative bedside CBF monitoring (Xe-CT) for decision making in neurosurgical intensive care. British Journal of Neurosurgery, 21(4), 332-339
Open this publication in new window or tab >>Potential use of quantitative bedside CBF monitoring (Xe-CT) for decision making in neurosurgical intensive care
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2007 (English)In: British Journal of Neurosurgery, ISSN 0268-8697, E-ISSN 1360-046X, Vol. 21, no 4, p. 332-339Article in journal (Refereed) Published
Abstract [en]

During a 3-year period, mobile xenon-computerized tomography (Xe-CT) for bedside quantitative assessment of cerebral blood flow was used as an integrated tool for decision making during the care of complicated patients in our neurosurgical intensive care units (NSICU), in an attempt to make a preliminary evaluation regarding the usefulness of this method in routine work in the neurosurgical intensive care. With approximately 200 studies involving 75 patients, we identified six different categories where the use of bedside Xe-CT significantly influenced (or, with more experience, could have influenced) the decision making, or facilitated the handling of patients. These categories included identification of problems not apparent from other types of monitoring, avoidance of adverse effects from treatment, titration of standard treatments, evaluation of the vascular resistance reserve, assessment of adequate perfusion pressure and better utilization of resources from access to the bedside cerebral blood flow (CBF) technology. We conclude that quantitative bedside measurements of CBF could be an important addition to the diagnostic and monitoring arsenal of NSICU-tools. © The Neurosurgical Foundation.

National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-40445 (URN)10.1080/02688690701411574 (DOI)53262 (Local ID)53262 (Archive number)53262 (OAI)
Available from: 2009-10-10 Created: 2009-10-10 Last updated: 2017-12-13
Andersson-Engels, S., Pålsson, S., Backlund, E. O., Sturnegk, P., Lundberg, P., Smedby, Ö., . . . Wårdell, K. (2005). ALA-PpIX Fluorescence and spectroscopy in connection with stereotactic biopsy of human glioblastomas. In: European Conference on Biomedical Optics,2005: .
Open this publication in new window or tab >>ALA-PpIX Fluorescence and spectroscopy in connection with stereotactic biopsy of human glioblastomas
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2005 (English)In: European Conference on Biomedical Optics,2005, 2005Conference paper, Published paper (Refereed)
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-30121 (URN)15599 (Local ID)15599 (Archive number)15599 (OAI)
Available from: 2009-10-09 Created: 2009-10-09 Last updated: 2017-02-22Bibliographically approved
Hillman, J., Sturnegk, P., Yonas, H., Heron, J., Sandborg, M., Gunnarsson, T. & Mellergård, P. E. (2005). Bedside monitoring of CBF with xenon-CT and a mobile scanner: A novel method in neurointensive care. British Journal of Neurosurgery, 19(5), 395-401
Open this publication in new window or tab >>Bedside monitoring of CBF with xenon-CT and a mobile scanner: A novel method in neurointensive care
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2005 (English)In: British Journal of Neurosurgery, ISSN 0268-8697, E-ISSN 1360-046X, Vol. 19, no 5, p. 395-401Article in journal (Refereed) Published
Abstract [en]

Combining previously independently established techniques our objective was to develop and evaluate a method for bedside qualitative assessment of cerebral blood flow in neurointensive care (NICU) patients. The CT-protocol was optimized using phantoms and comparing a mobile CT-scanner (Tomoscan-M, Philips) with two stationary CT scanners. Thirty-two per cent xenon was delivered with standard equipment (Enhancer 3000). Mean cortical flow in volunteers was 48 ml/min/100 g, with the mean vascular territorial flow varying between 45 and 66 ml/min/100 g. The potential clinical usefulness was illustrated in three patients with vasospasm following subarachnoid haemorrhage. Our conclusion is that quantitative bedside measurements of CBF can be repeatedly performed in an easy and safe way in a standard NICU-setting, using xenon-inhalation and a mobile CT-scanner. The method is useful for the decision-making, and is a good example of how the quality of multi-modality monitoring in the NICU can be developed and further diversified. © The Neurosurgical Foundation.

National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-30213 (URN)10.1080/02688690500389898 (DOI)15708 (Local ID)15708 (Archive number)15708 (OAI)
Available from: 2009-10-09 Created: 2009-10-09 Last updated: 2017-12-13
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