A four lumen screwing device for multiparametric brain monitoring

We describe multiparametric monitoring in severe head trauma using a new screwing device. Our aim was to create a screw which would make the implantation of the probes and thus multiparametric monitoring easier. The new screw allows us to implant 3 probes (microdialysis, Paratrend and an intracrania...

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Bibliographic Details
Published in:Acta neurochirurgica 2000-01, Vol.142 (8), p.909-912
Main Authors: FEUERSTEIN, Th, LANGEMANN, H, GRATZL, O, MENDELOWITSCH, A
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Brain Injuries - metabolism
Brain Injuries - physiopathology
Cerebral Ventricles
Critical Care - methods
Drainage
Female
Head injuries
Humans
Hydrogen-Ion Concentration
Intracranial Pressure
Male
Medical sciences
Microdialysis - instrumentation
Microdialysis - methods
Middle Aged
Monitoring, Physiologic - instrumentation
Monitoring, Physiologic - methods
Oxygen - metabolism
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Severity of Illness Index
Surgical Instruments
Technology. Biomaterials. Equipments. Material. Instrumentation
Treatment Outcome
Trephining - instrumentation
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Summary:We describe multiparametric monitoring in severe head trauma using a new screwing device. Our aim was to create a screw which would make the implantation of the probes and thus multiparametric monitoring easier. The new screw allows us to implant 3 probes (microdialysis, Paratrend and an intracranial pressure device) through one burr hole. The screw has four channels, the fourth being for ventricular drainage. We monitored 13 patients with severe head trauma (GCS = 3-8) for up to 7 days. Brain tissue pO2, pCO2, pH, and temperature were measured on-line with the Paratrend 7 machine. The microdialytic parameters glucose, lactate, pyruvate and glutamate were determined semi on-line with a CMA 600 enzymatic analyser. There were no complications in any of the patients that could be ascribed to the screw.
ISSN:0001-6268
0942-0940
DOI:10.1007/s007010070077