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Neuro Critical Care

6 Brain Tissue Oxygenation Procedural Steps and Clinical U

Built from Jallo — Neurocritical Care Procedure Atlas

The first 25 slides of 6 Brain Tissue Oxygenation Procedural Steps and Clinical U
The first 25 slides, exactly as they appear. The full deck has 45 content slides.

What’s inside

6 sections · 45 slides

  1. 01

    Overview

    • What this deck will teach you

    1 slide

  2. 02

    Why Oxygen, Not Just Pressure

    The physiology that makes a brain-oxygen probe worth placing

    • The problem: hidden injury after the first hit
    • The usual monitors, and where they fall short
    • What PbtO2 actually measures
    • Two numbers that frame the physiology
    • What the evidence does and does not show
    • Mixed trial signals, side by side
    • Where in the brain does the probe go

    7 slides

  3. 03

    The Device

    How a probe turns dissolved oxygen into a number on the screen

    • The three parts every PbtO2 monitor shares
    • Method 1 - the Licox electrode
    • Method 2 - luminescence quenching
    • Optical luminescent PbtO2 sensing
    • Electrode vs optical: how to think about the choice
    • Licox monitor with probe ports

    6 slides

  4. 04

    When To Use It - and When Not To

    Indications and contraindications

    • When PbtO2 monitoring is indicated
    • Two special situations where it may help
    • When NOT to place it - contraindications

    3 slides

  5. 05

    The Procedure

    From marking the skin to reading the first value

    • Getting ready: setup and sedation
    • Step 1 - Positioning
    • Step 2 - Planning the incision
    • Planning the entry incision
    • Step 3 - Prep and drape
    • Step 4 - Incision and twist drill
    • Monitor anchor / bolt
    • Step 5 - Opening the dura
    • Step 6 - Placing and securing the probe
    • Step 7 - Connect, and be patient with the number
    • Steps 8 and 9 - Closure and post-procedure imaging

    11 slides

  6. 06

    Complications & Troubleshooting

    How it can go wrong, how to prevent it, and what to remember

    • How safe is it, really
    • Licox safety review at a glance
    • The four complications: risk and how to avoid it
    • Why coagulation status matters most for bleeding
    • Troubleshooting the sedated, moving patient
    • More expert troubleshooting
    • Rapid review: why place a brain-oxygen probe at all?
    • Conclusion - the take-home message
    • References (1/2)
    • References (2/2)
    • Neuro ICU Procedure Atlas

    11 slides