Evidence map›Paper›PMID 36531179›Full record

ReviewFrontiers in physiology2022

Cerebral multimodality monitoring in adult neurocritical care patients with acute brain injury: A narrative review.

Jeanette Tas, Marek Czosnyka, Iwan C C van der Horst, Soojin Park, Caroline van Heugten, Mypinder Sekhon, Chiara Robba, David K Menon, Frederick A Zeiler, Marcel J H Aries

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Frontiers in physiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06711016 (Efficacy and Safety of Target-directed Management of Cerebral Oxygenation in Patients Undergoing Extracorporeal Cardiopulmonary Resuscitation), which is not on this map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06711016 narecruitingnot on this mapstarted 2025, after this paper: background citation

Efficacy and Safety of Target-directed Management of Cerebral Oxygenation in Patients Undergoing Extracorporeal Cardiopulmonary Resuscitation: A Multicenter, Pragmatic, Randomized, Controlled Clinical Trial

TypeinterventionalSponsorQilu Hospital of Shandong UniversityRan2025 to 2028Enrolled654ConditionsCardiac ArrestArmsif rSO2 < 58%, if rSO2 58%-68%, rSO2>68%, Standard monitoring based on ECPR, along with continuous cerebral oxygenation monitoring (blinded to investigators, with no clinical interventions according to the results)., Standard monitoring based on ECPR
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Advances in Multimodality Monitoring in Traumatic Brain Injury.Current neurology and neuroscience reports · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Individualized autoregulation-guided arterial blood pressure management in neurocritical care.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Review
  13. Article
  14. Review
  15. Review
  16. Observational
  17. Review
  18. Article
  19. Indian Society of Critical Care Medicine and Indian Association of Palliative Care Expert Consensus and Position Statements for End-of-life and Palliative Care in the Intensive Care Unit.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 6 countries.

Jeanette TasMaastricht University Medical Center +, Department of Intensive Care Medicine, Maastricht University, Maastricht, Netherlands.
Marek CzosnykaBrain Physics Laboratory, Department of Clinical Neurosciences, Division of Neurosurgery, University of Cambridge, Cambridge, United Kingdom.
Iwan C C van der HorstMaastricht University Medical Center +, Department of Intensive Care Medicine, Maastricht University, Maastricht, Netherlands.
Soojin ParkDepartments of Neurology and Biomedical Informatics, Columbia University, New York, NY, United States.
Caroline van HeugtenSchool for Mental Health and Neuroscience (MHeNS), Maastricht University, Maastricht, Netherlands.
Mypinder SekhonDivision of Critical Care Medicine, Department of Medicine, University of British Columbia, Vancouver, BC, Canada.
Chiara RobbaDepartment of Anaesthesia and Intensive Care, Policlinico Santino IRCCS for Oncology and Neuroscience, Dipartimento di Scienze Chirurgiche Diagnostiche Integrate, University of Genova, Genova, Italy.
David K MenonUniversity Division of Anaesthesia, Addenbrooke's Hospital, University of Cambridge, Cambridge, United Kingdom.
Frederick A ZeilerUniversity Division of Anaesthesia, Addenbrooke's Hospital, University of Cambridge, Cambridge, United Kingdom.
Marcel J H AriesMaastricht University Medical Center +, Department of Intensive Care Medicine, Maastricht University, Maastricht, Netherlands.
Maastricht University · NLAddenbrooke's Hospital · GBColumbia University · USOspedale Policlinico San Martino · ITUniversity of British Columbia · CAUniversity of Cambridge · GBUniversity of Manitoba · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cerebral multimodality monitoring (MMM) is, even with a general lack of Class I evidence, increasingly recognized as a tool to support clinical decision-making in the neuroscience intensive care unit (NICU). However, literature and guidelines have focused on unimodal signals in a specific form of acute brain injury. Integrating unimodal signals in multiple signal monitoring is the next step for clinical studies and patient care. As such, we aimed to investigate the recent application of MMM in studies of adult patients with traumatic brain injury (TBI), subarachnoid hemorrhage (SAH), intracerebral hemorrhage (ICH), acute ischemic stroke (AIS), and hypoxic ischemic brain injury following cardiac arrest (HIBI). We identified continuous or daily updated monitoring modalities and summarized the monitoring setting, study setting, and clinical characteristics. In addition, we discussed clinical outcome in intervention studies. We identified 112 MMM studies, including 11 modalities, over the last 7 years (2015-2022). Fifty-eight studies (52%) applied only two modalities. Most frequently combined were ICP monitoring (92 studies (82%)) together with PbtO

Indexed as

AIScerebral multimodality monitoringHIBIICHintensive careoutcomeSAHTBI

Identifiers

PMID36531179
PMCPMC9751622
OpenAlexW4311060963

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.