Curriculum Resources

Stage 3 Neuroanaesthesia / Advanced Neurocritical Care

Neuromonitoring for ICU

Published on 17 March, 2022

Last modified on April 1st, 2022

Curriculum Reference

15.9.2 (E) – analyses the risks and benefits of available anaesthetic techniques for differing neuroscience procedures including TIVA, processed EEG, neurophysiological monitoring, awake testing and the implications of patient positioning.

HiLLO 12: Doctors specialising in Intensive Care Medicine understand the special needs of, and are competent to manage patients with neurological diseases, both medical and those requiring surgery, which will include the management of raised intracranial pressure, central nervous system infections and neuromuscular disorders.


Introduction to interpretation of the EEG in intensive care – BJA Education

Monitoring the brain – BJA Education

Cerebral oximetry – BJA Education

Cerebral microdialysis: research technique or clinical tool – British Journal of Anaesthesia

Further Reading (incl. Key Trials)

Ultrasound-tagged near-infrared spectroscopy does not disclose absent cerebral circulation in brain-dead adults

Brain Tissue Oxygen Monitoring and Management in Severe Traumatic Brain Injury (BOOST-II): a Phase II Randomized Trial

Targeting Autoregulation-Guided Cerebral Perfusion Pressure after Traumatic Brain Injury (COGiTATE): A Feasibility Randomized Controlled Clinical Trial

National Guidance/Standards

International multidisciplinary consensus meeting on multimodality monitoring in neurocritical care


Monitoring intracranial pressure, perfusion, and metabolism – E-learning for health (Login required)

Online Resources

Brain physics lectures
University of Cambridge Division of Neurosurgery, Brain Physics Lectures (not just for physicists!)



Non invasive neuromonitoring, ESICM


RCoA Audit Compendium

FICM Standard

Adult patients with refractory convulsive status epilepticus must be admitted to critical care and have EEG monitoring established; the primary endpoint of treatment being the suppression of epileptic activity on EEG.

Upcoming live events

Brain oxygen tension monitoring; 10 years of experience in Edinburgh – session in May NACCS meeting May 10th , Birmingham

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