To: Neurocritical care management supported by multimodal brain monitoring after acute brain injury - Critical Care Science (CCS)

To: Neurocritical care management supported by multimodal brain monitoring after acute brain injury |

To the Editor

We read with interest the article by Monteiro et al. on a retrospective single-center study of the outcomes and mortality of 389 patients with traumatic brain injury (TBI) or subarachnoid bleeding (SAB) depending on the level of neuro-monitoring (standard, advanced) in a neuro-critical care unit (NCCU, Group G1) and a general intensive care unit (ICU) (GICU, Group G2).^{( )} The severity of the disease was assessed at admission to the emergency department using the simplified acute physiology (SAPS) II score.^{( )} Advanced multimodal brain monitoring, including autoregulation and NCCU management, was associated with better outcomes than standard neuromonitoring in the GICU.^{( )} The study is impressive, but some points require discussion.

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