MNM-Edu
Author, scope, evidence framing, and how to use this resource.
What this is
An interactive, evidence-anchored educational resource for pediatric multimodal neuromonitoring (MNM). 27 modalities are covered, from clinical exam, ICP, PRx, and CPPopt through TCD, NIRS, EEG, aEEG, BIS, pupillometry, PbtO₂, microdialysis, SjvO₂, ONSD, non-invasive ICP, brain temperature, evoked potentials, direct CBF, and ECoG / spreading depolarizations. A companion simulation platform, NeuroSim ICU, drives bedside-realistic cases for fellow training.
Author
This resource is created and maintained by Ahmed S. Alkhalifah, MD, MBBS, a pediatric intensivist with subspecialty training in neurocritical care.
An independent personal project
MNM-Edu is an independent personal educational project. It is not affiliated with, endorsed by, or representing any hospital, university, professional society, or employer. The choices of emphasis, the evidence framings, and the opinions on these pages are the author's alone; readers should not infer institutional endorsement from anything on this site.
Who it's for
- Pediatric ICU fellows and senior trainees during their PICU/NCC rotations.
- Pediatric intensivists refreshing or extending their bedside MNM literacy.
- Pediatric neurology / neurosurgery trainees rotating through the NICU.
- Allied bedside clinicians (PICU nurses, advanced practitioners).
- Adult NCC trainees wanting to understand pediatric-specific physiology.
- Researchers and educators designing MNM curricula.
- Medical students with an interest in neurocritical care.
How to read
Every page is presented in full, bedside view, signal physiology, hands-on widget, setup / technique, pitfalls, pediatric specifics, evidence summary, recent literature, and references. Use the table of contents on the right to jump between sections.
Honesty about evidence
Pediatric MNM evidence is mostly grade C or expert opinion. The EvidenceLevelchip you'll see throughout makes that visible rather than burying it. Where pediatric data are essentially absent, you'll see a sparsechip and a sentence explaining what we're extrapolating from.
Medical disclaimer (please read)
This site is an educational resource. It is NOT clinical advice and NOT a substitute for clinical judgement, formal training, or local protocols.
Do not use any content here to drive a direct patient-care decision. Specific monitoring thresholds, drug doses, escalation pathways, and physiological interpretations always need to be cross-checked against the primary literature and your institution's protocols, and applied to the patient in front of you by the team responsible for that patient.
Nothing here replaces bedside judgement, attending oversight, or institutional clinical pathways.
Contact
For corrections, factual disputes, or questions: [email protected]. I read what arrives and aim to respond, but timeliness is not guaranteed; this is a personal project run alongside clinical work. Corrections that surface real errors are especially welcome.