scholarly journals Prognostic significance of intracranial pressure monitoring and intracranial hypertension in severe brain trauma patients

2011 ◽  
Vol 64 (9-10) ◽  
pp. 461-465 ◽  
Author(s):  
Aleksandar Kostic ◽  
Ivan Stefanovic ◽  
Vesna Novak ◽  
Dragan Veselinovic ◽  
Goran Ivanov ◽  
...  
Keyword(s):  
Intracranial Pressure ◽  
Intracranial Hypertension ◽  
Prognostic Significance ◽  
Brain Trauma ◽  
Intracranial Pressure Monitoring ◽  
Control Group ◽  
Trauma Patients ◽  
Pressure Monitoring ◽  
Prognostic Effect ◽  
Significant Difference

Since without prospective randomized studies it is not possible to have a clear attitude towards the importance of intracranial pressure monitoring, this study was aimed at examining the prognostic effect of the intracranial pressure monitoring and intracranial pressure oriented therapy in severe brain trauma patients, and at defining optimal intracranial pressure values for starting the treatment. Two groups of patients were treated in the study, one consisted of 32 patients undergoing intracranial pressure monitoring and the second group of 29 patients without intracranial pressure monitoring in the control group. The study was prospective with groups randomized. There were 53% survivals in the intracranial pressure monitored patients and 34% in the control group, with no significant difference in the survival rate between the two groups (?2=2.11; p=0.15; p>0.05). The average intracranial pressure in the patients with intracranial hypertension who died was 27 mm Hg, while in the patients who survived the average intracranial pressure was significantly lower (Student?s t test: t=2.91; p=0.008; p<0.01) and it was 18 mm Hg. We recommend starting intracranial pressure oriented therapy when the patient?s intracranial pressure exceeds 18 mmHg during 2 hours of monitoring.

Intracranial Pressure Monitoring and Management of Intracranial Hypertension

2014 ◽  
Vol 30 (4) ◽  
pp. 735-750 ◽  
Author(s):  
Jon Perez-Barcena ◽  
Juan Antonio Llompart-Pou ◽  
Kristine H. O'Phelan
Keyword(s):  
Intracranial Pressure ◽  
Intracranial Hypertension ◽  
Intracranial Pressure Monitoring ◽  
Pressure Monitoring

Intracranial Pressure Monitoring

1993 ◽  
Vol 4 (1) ◽  
pp. 148-160
Author(s):  
Therese S. Richmond
Keyword(s):  
Critical Care ◽  
Intracranial Pressure ◽  
Intracranial Hypertension ◽  
Nursing Care ◽  
Critical Care Nurses ◽  
Intracranial Pressure Monitoring ◽  
Icp Monitoring ◽  
Pressure Monitoring ◽  
Evaluation Of Care ◽  
Planning Intervention

Intracranial pressure monitoring (ICP) is a technology that assists critical care nurses in the assessment, planning, intervention, and evaluation of care. The physiologic basis of intracranial hypertension (ICH) and ICP monitoring are reviewed. Types of monitors arc described. Advantages, disadvantages, and complications of fluid-filled versus fiberoptic systems are explored. Priorities in nursing care of the patient with an ICP monitor are examined

Brain Trauma Foundation Guidelines for Intracranial Pressure Monitoring: Compliance and Effect on Outcome

2017 ◽  
Vol 41 (6) ◽  
pp. 1543-1549 ◽  
Author(s):  
Alberto Aiolfi ◽  
Elizabeth Benjamin ◽  
Desmond Khor ◽  
Kenji Inaba ◽  
Lydia Lam ◽  
...  
Keyword(s):  
Intracranial Pressure ◽  
Brain Trauma ◽  
Intracranial Pressure Monitoring ◽  
Pressure Monitoring ◽  
Brain Trauma Foundation

scholarly journals Highlighting intracranial pressure monitoring in patients with severe acute brain trauma

1995 ◽  
Vol 53 (3a) ◽  
pp. 390-394 ◽  
Author(s):  
Antonio L. E Falcão ◽  
Venâncio P. Dantas Filho ◽  
Luiz A. C. Sardinha ◽  
Elizabeth M. A. B. Quagliato ◽  
Desanka Dragosavac ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Intracranial Pressure ◽  
Glasgow Coma Scale ◽  
Brain Trauma ◽  
Intracranial Pressure Monitoring ◽  
Ct Scans ◽  
Icp Monitoring ◽  
Pressure Monitoring ◽  
Focal Lesions ◽  
Coma Scale

Intracranial pressure (ICP) monitoring was carried out in 100 patients with severe acute brain trauma, primarily by means of a subarachnoid catheter. Statistical associations were evaluated between maximum ICP values and: 1) Glasgow Coma Scale (GCS) scores; 2) findings on computed tomography (CT) scans of the head; and 3) mortality. A significant association was found between low GCS scores (3 to 5) and high ICP levels, as well as between focal lesions on CT scans and elevated ICP. Mortality was significantly higher in patients with ICP > 40 mm Hg than in those with ICP < 20 mm Hg.

scholarly journals Review: pathophysiology of intracranial hypertension and noninvasive intracranial pressure monitoring

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Nicolas Canac ◽  
Kian Jalaleddini ◽  
Samuel G. Thorpe ◽  
Corey M. Thibeault ◽  
Robert B. Hamilton
Keyword(s):  
Intracranial Pressure ◽  
Intracranial Hypertension ◽  
Intracranial Pressure Monitoring ◽  
Pressure Monitoring

Chronic Headache Associated with a Functioning Shunt: Usefulness of Pressure Monitoring

Neurosurgery ◽  
1991 ◽  
Vol 28 (1) ◽  
pp. 72-77 ◽  
Author(s):  
Rick Abbott ◽  
Fred J. Epstein ◽  
Jeffrey H. Wisoff
Keyword(s):  
Intracranial Pressure ◽  
Intracranial Hypertension ◽  
Chronic Headache ◽  
Intracranial Pressure Monitoring ◽  
Pressure Monitoring ◽  
Successful Management ◽  
Therapeutic Procedures ◽  
Chronic Headaches ◽  
Dependent Patient

Abstract Chronic headaches in a shunt-dependent patient with small ventricles has long been treated with little or no regard to intracranial pressure. In this study, pressure monitoring on 12 such patients demonstrated that they fell into three distinct categories: 3 had headaches caused by intracranial hypertension, 2 had headaches from hypotension, and 7 showed no relation of symptoms to pressure. As therapeutic procedures for treating these three categories are entirely different and sometimes opposing, it is clear that intracranial pressure monitoring is essential to successful management of this complaint.

Complications of Intracranial Pressure Monitoring in Trauma Patients

Neurosurgery ◽  
1989 ◽  
Vol 25 (1) ◽  
pp. 20-24 ◽  
Author(s):  
Craig W. Clark ◽  
Michael S. Muhlbauer ◽  
Robbie Lowrey ◽  
Michael Hartman ◽  
Morris W. Ray ◽  
...  
Keyword(s):  
Intracranial Pressure ◽  
Infection Rate ◽  
Retrospective Review ◽  
Intracranial Pressure Monitoring ◽  
Trauma Patients ◽  
Concurrent Infection ◽  
Icp Monitoring ◽  
Pressure Monitoring ◽  
Related Literature

Abstract A retrospective review of 175 intracranial pressure (ICP) monitors placed in 140 trauma patients over a recent 3-year period showed a 10.3% infection rate. Factors that were related to the development of an ICP monitor-related infection included: 1) duration of monitoring; 2) requirement for serial monitors; and 3) concurrent infection at other sites. These findings are discussed in light of the related literature concerning ICP monitoring and recommendations made to decrease the incidence of infection-related complications.

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