Abstract
Introduction: Intracranial pressure (ICP) monitoring is usually conducted in-hospital using stationary devices. Modern mobile ICP monitoring systems present new monitoring possibilities more closely following the patients’ daily life. We reviewed patient safety, quality of technical data, and adequacy for clinical evaluation in ICP monitoring in the home setting versus in-hospital monitoring.
Methods: Patients were divided into two subgroups (home or hospital monitoring). We noted technical curve quality and clinically useful parameters for both subgroups.
Results: Forty-four patients (aged 1–55 years) were included in this survey, with 50 sessions (home/in-hospital monitoring: 21/29). No difference was found in technical curve quality by comparing number of interruptions (p = 0.22), percentage of measurement duration with valid curve (p = 0.57), or the ability to perform adequate clinical evaluation of the data (p = 0.52). No clinically detectable complications were encountered in either group.
Conclusion: We propose home ICP monitoring as a feasible and safe alternative to in-hospital monitoring in select cases where the patient’s caregiver – with prior meticulous instructions – can adequately observe the patient during the monitoring session.
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References
Blaha M, Lazar D, Winn RH, Ghatan S (2003) Hemorrhagic complications of intracranial pressure monitors in children. Pediatr Neurosurg 39(1):27–31
Citerio G, Piper I, Chambers IR, Galli D, Enblad P, Kiening K et al (2008) Multicenter clinical assessment of the Raumedic Neurovent-P intracranial pressure sensor: a report by the BrainIT group. Neurosurgery 63(6):1152–1158; discussion 1158
Citerio G, Piper I, Cormio M, Galli D, Cazzaniga S, Enblad P et al (2004) Bench test assessment of the new Raumedic Neurovent-P ICP sensor: a technical report by the BrainIT group. Acta Neurochir 146(11):1221–1226
Czosnyka M, Brady K, Reinhard M, Smielewski P, Steiner LA (2009) Monitoring of cerebrovascular autoregulation: facts, myths, and missing links. Neurocrit Care 10(3):373–386
Czosnyka M, Czosnyka Z, Momjian S, Pickard JD (2004) Cerebrospinal fluid dynamics. Physiol Meas 25(5):R51–R76
Schuhmann MU, Sood S, McAllister JP, Jaeger M, Ham SD, Czosnyka Z et al (2008) Value of overnight monitoring of intracranial pressure in hydrocephalic children. Pediatr Neurosurg 44(4):269–279
Stendel R, Heidenreich J, Schilling A, Akhavan-Sigari R, Kurth R, Picht T et al (2003) Clinical evaluation of a new intracranial pressure monitoring device. Acta Neurochir 145(3):185–193; discussion 193
Tamburrini G, Di Rocco C, Velardi F, Santini P (2004) Prolonged intracranial pressure (ICP) monitoring in non-traumatic pediatric neurosurgical diseases. Med Sci Monit 10(4):53–63
Taylor WA, Thomas NW, Wellings JA, Bell BA (1995) Timing of postoperative intracranial hematoma development and implications for the best use of neurosurgical intensive care. J Neurosurg 82(1):48–50
Yokota A, Matsuoka S, Ishikawa T, Kohshi K, Kajiwara H (1989) Overnight recordings of intracranial pressure and electroencephalography in neurosurgical patients. Part II: changes in intracranial pressure during sleep. J UOEH 11(4):383–391
Acknowledgments
The authors received research grants from The Aase og Ejnar Danielsen Fund, The Augustinus Fund, and The Beckett Fund. We are grateful for their help and their support of this study.
Conflicts of interest statement We declare that we have no conflict of interest.
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Andresen, M., Juhler, M., Munch, T.N. (2012). Quality and Safety of Home ICP Monitoring Compared with In-Hospital Monitoring. In: Aygok, G., Rekate, H. (eds) Hydrocephalus. Acta Neurochirurgica Supplementum, vol 113. Springer, Vienna. https://doi.org/10.1007/978-3-7091-0923-6_37
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DOI: https://doi.org/10.1007/978-3-7091-0923-6_37
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