Update on Neuromonitoring
Update on Neuromonitoring
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Update on Neuromonitoring

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More than 24 hours of content in english.

Program :

Welcome to Roma: A city full of brain(s) - M. Antonellli (Rome, Italy)
Welcome to the meeting : A look inside the skull - J-L. Vincent (Brussels, Belgium)
Neuromonitoring: Many questions without answers - N Stocchetic (Milan, Italy)

Basic Concepts :

Cerebral blood flow, cerebal perfusion pressure, autoregulation - G Citerio (Monza, Italy) 
Cerebral oxygen delivery and consumption - N Stoccheti (Milan, Italy) 
Energy metabolism - M Oddo (Lausanne, Switzerland) 
Neuroinflammation and neuromodulation - T Sharshar (Garches, France)
Mechanisms of brain damage after trauma - M Oddo (Lausanne, Switzerland) 
Brain glucose metabolism - P Le Roux (Philadelphia, USA)

Flow delivery, adequacy of perfusion 

Non-invasive: indirect measures, Doppler techniques - P Vespa (Los Angeles, USA) 
Invasive methods - G Citerio (Monza, Italy)
Monitoring autoregulation - P Horn (Berlin, Germany)

Cerebral blood flow and oxygenation (ctnd)

Microcirculation - F Taccione (Brussels, Belgium)
Monitoring brain oxygen - P Le roux (Philadelphia, USA)

ICP Monitoring 

Indications and methods - G Citerio (Monza, Italy)
Interpretation - N Stocchetti (Milan, Italy)

Cerebral oxygen availability 
Invasive 

Brain PO2 - P Andrews (Edinburgh, UK) 
SiO2 - N Stocchetti (Milan, Italy) 
Cerebral microdialysis - M Oddo (Lausanne, Switzerland) 

Non Invasive 

NIRS in neurologic patients - G Citerio (Monza, Italy) 
NIRS in cardiac surgical patients - M Hartley (Blackpool, UK)

Cerebral metabolism 

Neurological examination of the comatose patient - T Sharshar (Garches, France) 
Brain specific biomakers ? - R Stevens (Baltimore, USA)

Electrical activity 

EEG: Intermittent or continuous - M Oddo (Lausanne, Switzerland) 
Quantitative EEG and evoked potentials - P Vespa (Los Angeles, USA) 

Brain imaging 

CT-scan - P Horn (Berlin, Germany) 
MRI in cardiac arrest - R Stevens (Baltimore, USA) 
MRI in critical illness encephalopathy - T Sharshar (Garches, France)
MRI in traumatic brain injury - R Stevens (Baltimore, USA)
We need neurological examination when the patient is well monitored 
Pro - N Stocchetti (Milan, Italy) 
Con - P Vespa (Los Angeles, USA)

Prognosis 

How monitoring can help assess prognosis - T sharshar (Baltimore, USA) 
Prognosis in trauma - R Stevens (Baltimore - USA)
Prognosis in cardiac arrest - F Taccone (Brussels, Belgium)

Round table discussion 

What kinds of clinical trial do we need ? 
P Horn (Berlin Germany), R Stevens (Baltimore, USA) P Andrews (Edinburgh, UK) 
P Vespa (Los Angeles, USA), P Le Roux (Philadelphia, USA)

Advanced neuromonitoring 

What is the difference ? - P Andrews (Edinburgh, UK)

Round table discussion 

Integration - Multimodal monitoring - Bioinformatics - P Andrews (Edinburgh, UK), G Citterio (Monza, Italy), P Horn (Berlin, Germany), P Le Roux (Philadelphia, USA)

Pratical cases 

Head trauma - G Citterio (Monza, Italy) 
Head trauma 2 - P Le Roux (Philadelphia, USA) 
Subarachnoid hemorrhage - M Oddo (Lausanne, Switzerland)
Hypothermia - P Andrews (Edinburgh, UK)

 

Conclusions 

The take messages