Research progress of monitoring methods of cerebral oxygen metabolism after craniocerebral operations

Traumatic brain injury(TBI)can lead to high mortality and disability in children, and can cause great difficulties in treatment worldwide.It is important to prevent and reduce the secondary brain injuries.Therefore, monitoring the brain function, especially the balance of cerebral oxygen metabolism seems to play a very extraordinary role.The mortality and the neurologic sequelae can be improved as long as we detect the cerebral hypoperfusion at the early stage and give timely interventions.Now, the popular monitoring methods include jugular bulb oxygen saturation, regional cerebral oxygen saturation by near infrared spectroscopy, brain tissue oxygen pressure, and cerebral microdialysis.This review aims to summarize the clinical practice of the cerebral oxygen metabolism monitoring methods in TBI children by reviewing the latest research literatures at home and abroad and to provide reference for clinicians to ameliorate the prognosis. Key words: Traumatic brain injury; Cerebral oxygen metabolism; Jugular vensous oxygen saturation; Near-infrared spectroscopy; Regional cerebral oxygen saturation; Brain tissue partial pressure of oxygen; Microdialysis