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Patient: This patient was a 79 year old female with an aneurysmal subarachnoid hemorrhage.

Monitored Data: A trend display on the CNS Monitor was configured to show mean arterial blood pressure (ABP[Mean]), cerebral blood flow (Perfusion), intracranial pressure (ICP), cerebral perfusion pressure (CPP), brain tissue oxygen (PbtO2), and heart rate (HR). One hour of data is displayed.

Clinical Scenario:

  • During hospitalization, the patient began having episodes of supraventricular tachycardia (SVT) accompanied by hypotension and reduction in cerebral perfusion and PbtO2.
  • The patient's baseline physiology can been seen at the beginning of the trend display (indicated by the green arrow in Figure 1).
  • The red arrow marks the episode of SVT followed by adenosine administration.
  • Note the alterations in ABP, HR, Perfusion, PbtO2, and CPP at the time. The numeric display on the right side of the screen corresponds to the time indicated by the yellow line.
  • The blue arrow marks the normalization of intracranial dynamics after resolution of the cardiac event.

FIGURE 1: CNS Monitor display shows an episode of SVT that was treated with administration of adenosine.

Episode of SVT

Discussion:

In this case, the CNS Monitor displayed the effects of a significant cardiac event and real-time intervention on cerebral physiology. Single-variable monitoring reveals little about intracranial dynamics, but multimodal monitoring may provide opportunities for identification and intervention of significant events.

The authors of this study emphasized the criticality of capturing and storing data for retrospective analysis and interpretation. Multimodal data provided by the CNS Monitor provides a unique learning opportunity for clinicians as it reveals complex cerebral physiology.

Reference: Kim Olin, Bobby Sena, Mark Krasberg, Brittany Mead, Edwin Nemoto, Howard Yonas. University of New Mexico Hospital. August 1, 2011. Used with permission.

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The CNS Monitor combines a full-function, continuous EEG machine, data management system, and a bedside "brain vital signs monitor" in one product, all for the price of an EEG machine.

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The modular design of the CNS Monitor makes it easy to configure for a wide range of research applications involving data collection and integration.

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Moberg’s Data Integration Solutions Featured in AANS Presidential Address

Ambler, PA - April 15, 2019 - In her opening address, Dr. Shelly Timmons, President of the American Association of Neurological Surgeons (AANS), gave the Presidential Address on data connectivity and integration to thousands of conference attendees. Highlighted in her presentation were Moberg’s solutions for multimodal data integration, the result of years of hard work and innovation in overcoming the challenges of collecting and unifying multimodal data.

Moberg Launches a New Informatics Division

Ambler, PA - August 8, 2018 - We are pleased to announce a new division, Moberg Informatics, that will focus on developing a platform for advanced analytics and data exploration as well as for decision support. In collaboration with multiple organizations, our mission is to facilitate the development of a more meaningful medical record for the brain.

CNS Monitor Software Update Brings Four New Device Interfaces and Other Features

Ambler, PA - July 31, 2018 - Moberg ICU Solutions has released a software update for the CNS Monitor that adds support for four new device interfaces along with a number of other features and improvements.