CEREBRAL METABOLIC MONITORING IN CRITICAL NEUROLOGICAL PATIENTS

Background: Cerebral metabolic monitoring ill critical neurological pa tients allows the assessment of neuronal tissue response to injury and to plan the best therapy? to correct each critical brain situation. A im: To evaluate the usefulness of cerebral metabolic monitoring ill pa tients with, acute cerebral injury. Patients and methods: A retrospect ive analysis of 29 patients with acute brain injury in whom a catheter was located in the bulb of the jugular vein to perform a cerebral met abolic monitoring. These patients were compared with others that were not subjected to this monitoring. The evolution at six months of follo w lip was assessed using the Glasgow outcome score, considering a favo rable evolution when this score was 4 or ,greater. Results: Patients w ith all hyperemic state on admission after optimisation Of therapy did not have hospital mortality: and 73% had Glasgow outcome score of 4 o i. greater nt six months of follow up. On the other hand 50% of those with hypoperfusion or global ischemia died during hospitalization and 72% had a Glasgow outcome score of 3 ol less at six months. Patients n ot subjected to cerebral metabolic monitoring behave as those with hyp operfusion; or-global ischemia. Conclusions: Cerebral metabolic monito ring is an useful tool to optimize the management of patients with acu te cerebral injury, and those Patients with all hyperemic cerebral sta te have the best prognosis.