NeuroSystems - The Leader in Multimodality NeuroMonitoring

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News"></a></td> </tr> <tr> <td><img name="website8_leftnav_r13_c1" src="images/website8_leftnav_r13_c1.gif" width="146" height="13" border="0"></td> </tr> <tr> <td><a href="http://neuroregistry.com" onMouseOut="MM_nbGroup('out');" onMouseOver="MM_nbGroup('over','website8_leftnav_r14_c1','images/website8_leftnav_r14_c1_f2.gif','images/website8_leftnav_r14_c1_f3.gif',1);" onClick="MM_nbGroup('down','navbar1','website8_leftnav_r14_c1','images/website8_leftnav_r14_c1_f3.gif',1);" target="_top" ><img name="website8_leftnav_r14_c1" src="images/website8_leftnav_r14_c1.gif" width="146" height="18" border="0" alt="NeuroRegistry Online Database"></a></td> </tr> <tr> <td><img name="website8_leftnav_r15_c1" src="images/website8_leftnav_r15_c1.gif" width="146" height="12" border="0"></td> </tr> <tr> <td><img name="website8_leftnav_r16_c1" src="images/website8_leftnav_r16_c1blan.gif" width="146" height="18" border="0"></td> </tr> <tr> <td><img name="website8_leftnav_r17_c1" src="images/website8_leftnav_r17_c1.gif" width="146" height="180" border="0"></td> </tr> </table> </td> <td valign="top"> <table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="5" valign="top" class="tinyspace"> </td> <td width="98%" valign="top" class="tinyspace"> </td> </tr> <tr> <td width="5" valign="top" class="tinyspace"> </td> <td width="98%" valign="top" class="tinyspace"> </td> </tr> <tr> <td width="5" valign="top"><img src="/images/spacer.gif" border="0" width="5" height="1"></td> <td width="98%" valign="top" > <div align="left"><span class="titleblue">Multimodality Neurosurgical Intensive Care Monitoring</span>  <br> <br> </div> <table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td valign="top" width="48%"> <li type="square" class="subtitle"><span class="subtitle">Evolving Standard of Care</span><span class="boldtext"><br> <br> </span><span class="smallbold">In the 1980's, due in large part to the efforts of<span class="smallbold"><i> Camino Laboratories</i></span> (later acquired by<i> Integra LifeSciences, Inc</i>.), the monitoring of </span><span class="smallboldblue">intracranial pressure (ICP)</span><span class="smallbold"> became an enduring standard of care in the management of traumatic brain injury. <br> <br> <br> <div align="center"><img src="/images/icp_wf.jpg" border="0" width="261" height="93"></div> </span><br> </td> <td valign="top" width="52%"><img src="/images/icp3.jpg" width="289" height="263" border="0" align="right"></td> <td width="0%"> </td> </tr> <tr> <td width="48%"><span class="smallbold">While ICP monitoring is still unquestionably of great value, elevated ICP is a rather late-stage indicator of the patient's status and probable clinical outcome, and much research has been directed to the development of diagnostic tools that will shed more light on intracranial dynamics and hopefully improve management and outcomes.<br> <br> Many new sensor technologies which permit the monitoring of important physical and chemical quantities including</span><span class="smallboldblue"> cerebral blood flow (CBF)</span><span class="smallbold">, partial pressures of </span><span class="smallboldblue">brain tissue oxygen</span><span class="smallbold"> and </span><span class="smallboldblue">carbon dioxide</span><span class="smallbold">, </span><span class="smallboldblue">pH</span><span class="smallbold">,</span><span class="smallboldblue"> temperature</span><span class="smallbold">, and the concentrations of various metabolites and ions via </span><span class="smallboldblue">microdialysis</span><span class="smallbold">, hold great promise in this quest, but to date most have yet to realize their potentials. <br> <br> The reason is obvious: the real clinical value of these new data lies not in isolated individual parameters but in the relationships between and among them. <br> <br> </span> </td> <td width="52%" valign="top"> <div align="center"><br> <br> <br> <img src="/images/generic_mons2.jpg" width="240" height="200" border="0"></div> </td> <td width="0%"> </td> </tr> <tr> <td colspan="2" class="subtitle"> <div align="left"><img src="/images/fancy_rule.jpg" width="619" height="9" border="0"></div> </td> <td width="0%"> </td> </tr> <tr> <td width="48%" class="subtitle"> </td> <td width="52%"> </td> <td width="0%"> </td> </tr> <tr> <td width="48%" class="smallbold" valign="top"> <li type="square" class="subtitle">True Multimodality Monitoring <br> <br></li> <span class="smallbold">The simplest example of true multimodality neuromonitoring can be seen in the well known clinical indicator, <span class="smallboldblue">cerebral autoregulation</span>. Simply put, the normal brain regulates its own blood supply, resulting in relatively constant blood flow (CBF) over a wide range of blood pressure values.The presence or absence of autoregulation in the clinical setting is typically calculated sporadically using time-delayed (by hours or even days) ICP, CBF and BP data recorded in a patient's chart. In contrast, a</span><span class="smallboldblue"> true multimodality monitor</span><span class="smallbold"> that displays the CBF plotted against the blood pressure or CPP, is actually visualizing, in real-time, this important clinical indicator.<br> </span> </td> <td width="52%"> <div align="center"><img src="/images/autoregulation_web2.jpg" width="250" height="201" border="0"></div> </td> <td width="0%"> </td> </tr> <tr> <td width="48%" class="smallbold" valign="top"><br> <br> <br> In the same way, many other data relationships may be visualized by consolidating parameters from multiple individual monitoring systems and displaying them, in real-time, in clinically useful formats. <br> <br> The result is<span class="smallboldblue"> true multimodality neuromonitoring</span>.</td> <td width="52%"> <div align="center"><img src="/images/ns1_web320.jpg" width="320" height="253" border="0"><br> <img src="/images/neurosystems_1_logo2.jpg" border="0" width="150" height="27"></div> </td> <td width="0%"> </td> </tr> <tr> <td width="48%"> </td> <td width="52%"> </td> <td width="0%"> </td> </tr> </table> </td> </tr> <tr> <td width="5" valign="top"></td> <td width="98%" valign="top" class="footer"> <div align="center"><br> <br> <br> <br> <br> <br> Copyright © 2003-2006 NeuroSystems, LLC. 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