Neuromonitoring in Traumatic Brain-injured Patients : From the Viewpoint of Treatment Guidelines(<SPECIAL ISSUE>Traumatic Head Injury Update)

Abstract

In 2007, the second edition of the Japan Society of Neurotraumatology (JSNT) Guidelines for the Management of Severe Head Injury were published and disseminated. Also, the third edition of the Brain Trauma Foundation (BTF) guidelines were established in the US in 2007. In these guidelines, the use of intracranial pressure monitoring is recommended in severe traumatic brain injury (TBI) patients, and several additional neuromonitorings were also added as optional recommendations. In the US guideline, brain tissue oxygenation monitoring was added as a new topic. In Japan, clinical microdialysis use was approved in 2007, and it has been applied for the estimation of cerebral circulation and metabolism in severe TBI patients. In this article, we review up-to-date neuromonitorings from the viewpoint of the latest Japanese and US guidelines, and we discuss the topics and problems with them.