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Potential use of quantitative bedside CBF monitoring (Xe-CT) for decision making in neurosurgical intensive care
Linköping University, Faculty of Health Sciences. Linköping University, Department of Neuroscience and Locomotion, Neurosurgery. Östergötlands Läns Landsting, Reconstruction Centre, Department of Neurosurgery UHL.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Neuroscience and Locomotion, Neurosurgery. Östergötlands Läns Landsting, Reconstruction Centre, Department of Neurosurgery UHL.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Biomedicine and Surgery, Division of clinical chemistry. Östergötlands Läns Landsting, Reconstruction Centre, Department of Neurosurgery UHL.
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2007 (English)In: British Journal of Neurosurgery, ISSN 0268-8697, E-ISSN 1360-046X, Vol. 21, no 4, 332-339 p.Article 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.

Place, publisher, year, edition, pages
2007. Vol. 21, no 4, 332-339 p.
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Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-40445DOI: 10.1080/02688690701411574Local ID: 53262OAI: oai:DiVA.org:liu-40445DiVA: diva2:261294
Available from: 2009-10-10 Created: 2009-10-10 Last updated: 2017-12-13

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Sturnegk, PatrikMellergård, PekkaTheodorsson, AnnetteHillman, Jan

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Sturnegk, PatrikMellergård, PekkaTheodorsson, AnnetteHillman, Jan
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British Journal of Neurosurgery
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