Perm Medical JournalPerm Medical Journal0136-14492687-1408Eco-Vector328610.17816/pmj30261-66Research ArticleCEREBRAL OXYMETRY AND TRANSCRANIAL DOPPLEROGRAPHY IN OPTIMIZATION OF ACUTE CEREBRAL INSUFFICIENCY PROGNOSISKuchukovaG U-MironovP Imironovpi@mail.ru15042013302616612072016Copyright © 2013, Kuchukova G.U., Mironov P.I.2013Aim. To improve the prediction of the results of treatment in patients with acute cerebral insufficiency using noninvasive cerebral oxymetry and transcranial dopplerography. Materials and methods. Over the period from 2005 to 2009, a prospective controlled nonrandomized investigation of 116 patients (62 men and 55 women) with acute cerebral insufficiency was performed on the basis of Republican Clinical Hospital named after G.G. Kuvatov. Results. On the basis of monitoring cerebral oxymetry, transcranial dopplerography and central hemodynamics, the authors fixed prognostic survival determinants in case of cerebral insufficiency. Conclusion. The results of the study indicate that use of cerebral oxymetry and transcranial dopplerography permits to optimize prediction of acute cerebral insufficiency outcomes.Acute cerebral insufficiencyprognosiscerebral oxymetrytranscranial dopplerographyОстрая церебральная недостаточностьпрогнозцеребральная оксиметриятранскраниальная допплерография[Крылов В. В., Петриков С. С., Белкин А. А. Лекции по нейрореанимации. М.: Медицина 2009; 192.][Никифоров Ю. В., Клыпа Т. В., Шепелюк А. Н. Церебральная оксиметрия для прогнозирования неврологической дисфункции у кардиохирургических пациентов. Общая реаниматология 2011; 1: 48–54.][Руднов В. А. Медицина, основанная на доказательствах в интенсивной терапии: анализ современного состояния проблемы. Интенсивная терапия 2005; 1: 15–19.][Таранова И. И., Кохно В. Н. Церебральная оксиметрия в практике анестезиолога-реаниматолога нейрохирургического профиля. Анестезиология и реаниматология 2008; 2: 64–67.][Dunham C. M., Sosnoski C., Perter J. et al. Correlation of noninvasive cerebral oximetry with cerebral perfusion in the severe head injured patient: A pilot study. J. of Trauma-Injury Infection 2002; 52 (1): 40–46.][Williams I. M., Mortimer A. J., McCollum C. N. Recent development in cerebral monitoring-near infrared light spectroscopy. An overview. Eur. J. Vasc. Endovasc. Surg. 1994; 12 (3): 263–271.]