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01.12.2014 | Review Article

Intracranial Pressure Monitoring: Fundamental Considerations and Rationale for Monitoring

verfasst von: Randall Chesnut, Walter Videtta, Paul Vespa, Peter Le Roux, The Participants in the International Multidisciplinary Consensus Conference on Multimodality Monitoring

Erschienen in: Neurocritical Care | Sonderheft 2/2014

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Abstract

Traumatic brain injury (TBI) is a major cause of death and disability worldwide. In large part critical care for TBI is focused on the identification and management of secondary brain injury. This requires effective neuromonitoring that traditionally has centered on intracranial pressure (ICP). The purpose of this paper is to review the fundamental literature relative to the clinical application of ICP monitoring in TBI critical care and to provide recommendations on how the technique maybe applied to help patient management and enhance outcome. A PubMed search between 1980 and September 2013 identified 2,253 articles; 244 of which were reviewed in detail to prepare this report and the evidentiary tables. Several important concepts emerge from this review. ICP monitoring is safe and is best performed using a parenchymal monitor or ventricular catheter. While the indications for ICP monitoring are well established, there remains great variability in its use. Increased ICP, particularly the pattern of the increase and ICP refractory to treatment is associated with increased mortality. Class I evidence is lacking on how monitoring and management of ICP influences outcome. However, a large body of observational data suggests that ICP management has the potential to influence outcome, particularly when care is targeted and individualized and supplemented with data from other monitors including the clinical examination and imaging.

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Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gotzsche PC, Ioannidis JP, Clarke M, Devereaux PJ, Kleijnen J, Moher D. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. Br Med J (Clin Res Ed). 2009;339:b2700.

Andrews JC, Schünemann HJ, Oxman AD, Pottie K, Meerpohl JJ, Coello PA, Rind D, Montori VM, Brito JP, Norris S, Elbarbary M, Post P, Nasser M, Shukla V, Jaeschke R, Brozek J, Djulbegovic B, Guyatt G. GRADE guidelines: 15 Going from evidence to recommendation-determinants of a recommendation’s direction and strength. J Clin Epidemiol. 2013;66(7):726–35.PubMed

Jaeschke R, Guyatt GH, Dellinger P, et al. Use of GRADE grid to reach decisions on clinical practice guidelines when consensus is elusive. Br Med J. 2008;337:a744.

Lescot T, Reina V, Le Manach Y, Boroli F, Chauvet D, Boch AL, Puybasset L. In vivo accuracy of two intraparenchymal intracranial pressure monitors. Intensive Care Med. 2011;37(5):875–9.PubMed

Narayan RK, Kishore PR, Becker DP, et al. Intracranial pressure: to monitor or not to monitor? A review of our experience with severe head injury. J Neurosurg. 1982;56(5):650–9.PubMed

Toutant SM, Klauber MR, Marshall LF, et al. Absent or compressed basal cisterns on first CT scan: ominous predictors of outcome in severe head injury. J Neurosurg. 1984;61(4):691–4.PubMed

Mizutani T, Manaka S, Tsutsumi H. Estimation of intracranial pressure using computed tomography scan findings in patients with severe head injury. Surg Neurol. 1990;33(3):178–84.PubMed

Eisenberg HM, Gary HE Jr, Aldrich EF, et al. Initial CT findings in 753 patients with severe head injury. A report from the NIH Traumatic Coma Data Bank. J Neurosurg. 1990;73(5):688–98.PubMed

Kishore PR, Lipper MH, Becker DP, Domingues da Silva AA, Narayan RK. Significance of CT in head injury: correlation with intracranial pressure. AJR Am J Roentgenol. 1981;137(4):829–33.PubMed

10.

Miller MT, Pasquale M, Kurek S, et al. Initial head computed tomographic scan characteristics have a linear relationship with initial intracranial pressure after trauma. J Trauma. 2004;56(5):967–72; discussion 72–73.PubMed

11.

Lobato RD, Cordobes F, Rivas JJ, et al. Outcome from severe head injury related to the type of intracranial lesion. A computerized tomography study. J Neurosurg. 1983;59(5):762–74.PubMed

12.

Poca MA, Sahuquillo J, Baguena M, Pedraza S, Gracia RM, Rubio E. Incidence of intracranial hypertension after severe head injury: a prospective study using the Traumatic Coma Data Bank classification. Acta Neurochir Suppl. 1998;71:27–30.PubMed

13.

Lee TT, Galarza M, Villanueva PA. Diffuse axonal injury (DAI) is not associated with elevated intracranial pressure (ICP). Acta Neurochir (Wien). 1998;140(1):41–6.

14.

Bekar A, Doğan S, Abaş F, Caner B, Korfali G, Kocaeli H, Yilmazlar S, Korfali E. Risk factors and complications of intracranial pressure monitoring with a fiberoptic device. J Clin Neurosci. 2009;16(2):236–40.PubMed

15.

Kasotakis G, Michailidou M, Bramos A, Chang Y, Velmahos G, Alam H, King D, de Moya MA. Intraparenchymal vs extracranial ventricular drain intracranial pressure monitors in traumatic brain injury: less is more? J Am Coll Surg. 2012;214:950–7.PubMed

16.

Mendelson AA, Gillis C, Henderson WR, Ronco JJ, Dhingra V, Griesdale DE. Intracranial pressure monitors in traumatic brain injury: a systematic review. Can J Neurol Sci. 2012;39(5):571–6.PubMed

17.

Farahvar A, Gerber LM, Chiu YL, Carney N, Härtl R, Ghajar J. Increased mortality in patients with severe traumatic brain injury treated without intracranial pressure monitoring. J Neurosurg. 2012;117(4):729–34.PubMed

18.

Bauer DF, McGwin G Jr, Melton SM, et al. The relationship between INR and development of hemorrhage with placement of ventriculostomy. J Trauma. 2011;70(5):1112–7.

19.

Matevosyan K, Madden C, Barnett SL, et al. Coagulation factor levels in neurosurgical patients with mild prolongation of prothrombin time: effect on plasma transfusion therapy. J Neurosurg. 2010;114:3–7.PubMed

20.

Mayhall CG, Archer NH, Lamb VA, et al. Ventriculostomy-related infections. A prospective epidemiologic study. N Engl J Med. 1984;310(9):553–9.PubMed

21.

Muttaiyah S, Ritchie S, John S, et al. Efficacy of antibiotic-impregnated external ventricular drain catheters. J Clin Neurosci. 2010;17:296–8.PubMed

22.

Honda H, Jones JC, Craighead MC, Diringer MN, Dacey RG, Warren DK. Reducing the incidence of intraventricular catheter-related ventriculitis in the neurology-neurosurgical intensive care unit at a tertiary care center in St Louis, Missouri: an 8-year follow-up study. Infect Control Hosp Epidemiol. 2010;31(10):1078–81.PubMed

23.

Leverstein-van Hall MA, Hopmans TE, van der Sprenkel JW, Blok HE, van der Mark WA, Hanlo PW, Bonten MJ. A bundle approach to reduce the incidence of external ventricular and lumbar drain-related infections. J Neurosurg. 2010;112(2):345–53.PubMed

24.

Fichtner J, Guresir E, Seifert V, Raabe A. Efficacy of silver-bearing external ventricular drainage a retrospective analysis. J Neurosurg. 2010;112:840–6.PubMed

25.

Andrews PJ, Sleeman DH, Statham PF, et al. Predicting recovery in patients suffering from traumatic brain injury by using admission variables and physiological data: a comparison between decision tree analysis and logistic regression. J Neurosurg. 2002;97(2):326–36.PubMed

26.

Badri S, Chen J, Barber J, et al. Mortality and long-term functional outcome associated with intracranial pressure after traumatic brain injury. Intensive Care Med. 2012;38(11):1800–9.PubMed

27.

Balestreri M, Czosnyka M, Hutchinson P, et al. Impact of intracranial pressure and cerebral perfusion pressure on severe disability and mortality after head injury. Neurocrit Care. 2006;4(1):8–13.PubMed

28.

Budohoski KP, Schmidt B, Smielewski P, et al. Non-invasively estimated ICP pulse amplitude strongly correlates with outcome after TBI. Acta Neurochir Suppl. 2012;114:121–5.PubMed

29.

Farahvar A, Gerber LM, Chiu YL, et al. Response to intracranial hypertension treatment as a predictor of death in patients with severe traumatic brain injury. J Neurosurg. 2011;114(5):1471–8.PubMed

30.

Fearnside MR, Cook RJ, McDougall P, McNeil RJ. The Westmead Head Injury Project outcome in severe head injury. A comparative analysis of pre-hospital, clinical and CT variables. Br J Neurosurg. 1993;7(3):267–79.PubMed

31.

Kostic A, Stefanovic I, Novak V, Veselinovic D, Ivanov G, Veselinovic A. Prognostic significance of intracranial pressure monitoring and intracranial hypertension in severe brain trauma patients. Med Pregl. 2011;64(9–10):461–5.PubMed

32.

Lannoo E, Van Rietvelde F, Colardyn F, et al. Early predictors of mortality and morbidity after severe closed head injury. J Neurotrauma. 2000;17(5):403–14.PubMed

33.

Papo I, Caruselli G. Long-term intracranial pressure monitoring in comatose patients suffering from head injuries. A critical survey. Acta Neurochir (Wien). 1977;39(3–4):187–200.

34.

Papo I, Caruselli G, Scarpelli M, Luongo A. Intracranial hypertension in severe head injuries. Acta Neurochir (Wien). 1980;52(3–4):249–63.

35.

Richard KE, Frowein RA. Significance of intracranial pressure and neurological deficit as prognostic factors in acute severe brain lesions. Acta Neurochir Suppl. 1979;28(1):66–9.PubMed

36.

Ross AM, Pitts LH, Kobayashi S. Prognosticators of outcome after major head injury in the elderly. J Neurosci Nurs. 1992;24(2):88–93.PubMed

37.

Saul TG, Ducker TB. Intracranial pressure monitoring in patients with severe head injury. Am Surg. 1982;48(9):477–80.PubMed

38.

Vapalahti M, Troupp H. Prognosis for patients with severe brain injuries. Br Med J. 1971;3(5771):404–7.PubMedCentralPubMed

39.

Bremmer R, de Jong BM, Wagemakers M, Regtien JG, van der Naalt J. The course of intracranial pressure in traumatic brain injury: relation with outcome and CT-characteristics. Neurocrit Care. 2010;12(3):362–8.PubMed

40.

Chamoun RB, Robertson CS, Gopinath SP. Outcome in patients with blunt head trauma and a Glasgow Coma Scale score of 3 at presentation. J Neurosurg. 2009;111(4):683–7.PubMedCentralPubMed

41.

Czosnyka M, Hutchinson PJ, Balestreri M, Hiler M, Smielewski P, Pickard JD. Monitoring and interpretation of intracranial pressure after head injury. Acta Neurochir Suppl. 2006;96:114–8.PubMed

42.

Feldmann H, Klages G, Gartner F, Scharfenberg J. The prognostic value of intracranial pressure monitoring after severe head injuries. Acta Neurochir Suppl. 1979;28(1):74–7.PubMed

43.

Hiler M, Czosnyka M, Hutchinson P, et al. Predictive value of initial computerized tomography scan, intracranial pressure, and state of autoregulation in patients with traumatic brain injury. J Neurosurg. 2006;104(5):731–7.PubMed

44.

Jiang JY, Gao GY, Li WP, Yu MK, Zhu C. Early indicators of prognosis in 846 cases of severe traumatic brain injury. J Neurotrauma. 2002;19(7):869–74.PubMed

45.

Lobato RD, Rivas JJ, Portillo JM, et al. Prognostic value of the intracranial pressure levels during the acute phase of severe head injuries. Acta Neurochir Suppl. 1979;28(1):70–3.PubMed

46.

Ng I, Lew TW, Yeo TT, et al. Outcome of patients with traumatic brain injury managed on a standardised head injury protocol. Ann Acad Med Singap. 1998;27(3):332–9.PubMed

47.

Nordby HK, Gunnerod N. Epidural monitoring of the intracranial pressure in severe head injury characterized by non-localizing motor response. Acta Neurochir (Wien). 1985;74(1–2):21–6.

48.

Petridis AK, Dorner L, Doukas A, Eifrig S, Barth H, Mehdorn M. Acute subdural hematoma in the elderly; clinical and CT factors influencing the surgical treatment decision. Cent Eur Neurosurg. 2009;70(2):73–8.PubMed

49.

Schirmer-Mikalsen K, Moen KG, Skandsen T, Vik A, Klepstad P. Intensive care and traumatic brain injury after the introduction of a treatment protocol: a prospective study. Acta Anaesthesiol Scand. 2013;57(1):46–55.PubMed

50.

Stein DM, Hu PF, Brenner M, et al. Brief episodes of intracranial hypertension and cerebral hypoperfusion are associated with poor functional outcome after severe traumatic brain injury. J Trauma. 2011;71(2):364–73; discussion 73–4.PubMed

51.

Stocchetti N, Zanaboni C, Colombo A, et al. Refractory intracranial hypertension and “second-tier” therapies in traumatic brain injury. Intensive Care Med. 2008;34(3):461–7.PubMed

52.

Tasaki O, Shiozaki T, Hamasaki T, et al. Prognostic indicators and outcome prediction model for severe traumatic brain injury. J Trauma. 2009;66(2):304–8.PubMed

53.

Vik A, Nag T, Fredriksli OA, et al. Relationship of “dose” of intracranial hypertension to outcome in severe traumatic brain injury. J Neurosurg. 2008;109(4):678–84.PubMed

54.

Struchen MA, Hannay HJ, Contant CF, Robertson CS. The relation between acute physiological variables and outcome on the Glasgow Outcome Scale and Disability Rating Scale following severe traumatic brain injury. J Neurotrauma. 2001;18(2):115–25.PubMed

55.

Levin HS, Eisenberg HM, Gary HE, et al. Intracranial hypertension in relation to memory functioning during the first year after severe head injury. Neurosurgery. 1991;28(2):196–9; discussion 200.PubMed

56.

Treggiari MM, Schutz N, Yanez ND, Romand JA. Role of intracranial pressure values and patterns in predicting outcome in traumatic brain injury: a systematic review. Neurocrit Care. 2007;6(2):104–12.PubMed

57.

Kobayashi S, Nakazawa S, Yano M, Yamamoto Y, Otsuka T. The value of intracranial pressure (ICP) measurement in acute severe head injury showing diffuse cerebral swelling. In: Ishi S, Nagai H, Brock M, editors. Intracranial pressure V. Berlin: Springer; 1983. p. 527–31.

58.

Miller JD, Becker DP, Ward JD, Sullivan HG, Adams WE, Rosner MJ. Significance of intracranial hypertension in severe head injury. J Neurosurg. 1977;47(4):503–16.PubMed

59.

Miller JD, Butterworth JF, Gudeman SK, et al. Further experience in the management of severe head injury. J Neurosurg. 1981;54(3):289–99.PubMed

60.

Narayan RK, Greenberg RP, Miller JD, et al. Improved confidence of outcome prediction in severe head injury. A comparative analysis of the clinical examination, multimodality evoked potentials, CT scanning, and intracranial pressure. J Neurosurg. 1981;54(6):751–62.PubMed

61.

Vukic M, Negovetic L, Kovac D, Ghajar J, Glavic Z, Gopcevic A. The effect of implementation of guidelines for the management of severe head injury on patient treatment and outcome. Acta Neurochir (Wien). 1999;141(11):1203–8.

62.

Alali AS, Fowler RA, Mainprize TG, Scales DC, Kiss A, de Mestral C, Ray JG, Nathens AB. Intracranial pressure monitoring in severe traumatic brain injury: results from the American College of Surgeons Trauma Quality Improvement Program. J Neurotrauma. 2013;30(20):1737–46.PubMedCentralPubMed

63.

Clayton TJ, Nelson RJ, Manara AR. Reduction in mortality from severe head injury following introduction of a protocol for intensive care management. Br J Anaesth. 2004;93(6):761–7.PubMed

64.

Fakhry SM, Trask AL, Waller MA, Watts DD. Management of brain-injured patients by an evidence-based medicine protocol improves outcomes and decreases hospital charges. J Trauma. 2004;56(3):492–9; discussion 9–500.PubMed

65.

Spain DA, McIlvoy LH, Fix SE, et al. Effect of a clinical pathway for severe traumatic brain injury on resource utilization. J Trauma. 1998;45(1):101–4; discussion 4–5.PubMed

66.

Arabi YM, Haddad S, Tamim HM, et al. Mortality reduction after implementing a clinical practice guidelines-based management protocol for severe traumatic brain injury. J Crit Care. 2010;25(2):190–5.PubMed

67.

Haddad S, Aldawood AS, Alferayan A, Russell NA, Tamim HM, Arabi YM. Relationship between intracranial pressure monitoring and outcomes in severe traumatic brain injury patients. Anaesth Intensive Care. 2011;39(6):1043–50.PubMed

68.

Bulger EM, Nathens AB, Rivara FP, et al. Management of severe head injury: institutional variations in care and effect on outcome. Crit Care Med. 2002;30(8):1870–6.PubMed

69.

Cremer OL, van Dijk GW, van Wensen E, et al. Effect of intracranial pressure monitoring and targeted intensive care on functional outcome after severe head injury. Crit Care Med. 2005;33(10):2207–13.PubMed

70.

Eddy VA, Vitsky JL, Rutherford EJ, Morris JA Jr. Aggressive use of ICP monitoring is safe and alters patient care. Am Surg. 1995;61(1):24–9.PubMed

71.

Gelpke GJ, Braakman R, Habbema JD, Hilden J. Comparison of outcome in two series of patients with severe head injuries. J Neurosurg. 1983;59(5):745–50.PubMed

72.

Marshall LF, Smith RW, Shapiro HM. The outcome with aggressive treatment in severe head injuries. Part I: The significance of intracranial pressure monitoring. J Neurosurg. 1979;50(1):20–5.PubMed

73.

Mauritz W, Steltzer H, Bauer P, Dolanski-Aghamanoukjan L, Metnitz P. Monitoring of intracranial pressure in patients with severe traumatic brain injury: an Austrian prospective multicenter study. Intensive Care Med. 2008;34(7):1208–15.PubMed

74.

Murray LS, Teasdale GM, Murray GD, Miller DJ, Pickard JD, Shaw MD. Head injuries in four British neurosurgical centres. Br J Neurosurg. 1999;13(6):564–9.PubMed

75.

Stocchetti N, Penny KI, Dearden M, et al. Intensive care management of head-injured patients in Europe: a survey from the European brain injury consortium. Intensive Care Med. 2001;27(2):400–6.PubMed

76.

Lane PL, Skoretz TG, Doig G, Girotti MJ. Intracranial pressure monitoring and outcomes after traumatic brain injury. Can J Surg. 2000;43(6):442–8.PubMedCentralPubMed

77.

Shafi S, Diaz-Arrastia R, Madden C, Gentilello L. Intracranial pressure monitoring in brain-injured patients is associated with worsening of survival. J Trauma. 2008;64(2):335–40.PubMed

78.

Stein SC, Georgoff P, Meghan S, Mirza KL, El Falaky OM. Relationship of aggressive monitoring and treatment to improved outcomes in severe traumatic brain injury. J Neurosurg. 2010;112(5):1105–12.PubMed

79.

Chesnut RM, Temkin N, Carney N, et al. A trial of intracranial-pressure monitoring in traumatic brain injury. N Engl J Med. 2012;367(26):2471–81.PubMedCentralPubMed

80.

Smith HP, Kelly DL Jr, McWhorter JM, et al. Comparison of mannitol regimens in patients with severe head injury undergoing intracranial monitoring. J Neurosurg. 1986;65(6):820–4.PubMed

81.

Gerber LM, Chiu YL, Carney N, Härtl R, Ghajar J. Marked reduction in mortality in patients with severe traumatic brain injury. J Neurosurg. 2013;119(6):1583–90.PubMed

82.

Eisenberg HM, Frankowski RF, Contant CF, Marshall LF, Walker MD. High-dose barbiturate control of elevated intracranial pressure in patients with severe head injury. J Neurosurg. 1988;69(1):15–23.PubMed

83.

Shiozaki T, Sugimoto H, Taneda M, et al. Effect of mild hypothermia on uncontrollable intracranial hypertension after severe head injury. J Neurosurg. 1993;79(3):363–8.PubMed

84.

Cooper DJ, Rosenfeld JV, Murray L, et al. Decompressive craniectomy in diffuse traumatic brain injury. N Engl J Med. 2011;364(16):1493–502.PubMed

85.

Marmarou A, Saad A, Aygok G, Rigsbee M. Contribution of raised ICP and hypotension to CPP reduction in severe brain injury: correlation to outcome. Acta Neurochir Suppl. 2005;95:277–80.PubMed

86.

Ratanalert S, Phuenpathom N, Saeheng S, Oearsakul T, Sripairojkul B, Hirunpat S. ICP threshold in CPP management of severe head injury patients. Surg Neurol. 2004;61(5):429–34; discussion 34–35.PubMed

87.

Chambers IR, Treadwell L, Mendelow AD. Determination of threshold levels of cerebral perfusion pressure and intracranial pressure in severe head injury by using receiver-operating characteristic curves: an observational study in 291 patients. J Neurosurg. 2001;94(3):412–6.PubMed

88.

Resnick DK, Marion DW, Carlier P. Outcome analysis of patients with severe head injuries and prolonged intracranial hypertension. J Trauma. 1997;42(6):1108–11.PubMed

89.

Young JS, Blow O, Turrentine F, Claridge JA, Schulman A. Is there an upper limit of intracranial pressure in patients with severe head injury if cerebral perfusion pressure is maintained? Neurosurg Focus. 2003;15(6):E2.PubMed

90.

Kahraman S, Dutton RP, Hu P, et al. Heart rate and pulse pressure variability are associated with intractable intracranial hypertension after severe traumatic brain injury. J Neurosurg Anesthesiol. 2010;22(4):296–302.PubMed

91.

Talving P, Karamanos E, Teixeira PG, Skiada D, Lam L, Belzberg H, Inaba K, Demetriades D. Intracranial pressure monitoring in severe head injury: compliance with Brain Trauma Foundation guidelines and effect on outcomes: a prospective study. J Neurosurg. 2013;119(5):1248–54.PubMed

92.

Whitmore RG, Thawani JP, Grady MS, Levine JM, Sanborn MR, Stein SC. Is aggressive treatment of traumatic brain injury cost-effective? J Neurosurg. 2012;116(5):1106–13.PubMed

93.

Dias C, Maia I, Cerejo A, Varsos G, Smielewski P, Paiva JA, Czosnyka M. Pressures, flow, and brain oxygenation during plateau waves of intracranial pressure. Neurocrit Care 2014;21(1):124–32.

94.

Le Roux P, Lam AM, Newell DW, Grady MS, Winn HR. Cerebral arteriovenous difference of oxygen: a predictor of cerebral infarction and outcome in severe head injury. J Neurosurg. 1997;87:1–8.PubMed

95.

Vespa PM, O’Phelan K, McArthur D, Miller C, Eliseo M, Hirt D, Glenn T, Hovda DA. Pericontusional brain tissue exhibits persistent elevation of lactate/pyruvate ratio independent of cerebral perfusion pressure. Crit Care Med. 2007;35(4):1153–60.PubMed

96.

Stiefel MF, Udoetek J, Spiotta A, Gracias VH, Goldberg AH, Maloney-Wilensky E, Bloom S, Le Roux P. Conventional neurocritical care and cerebral oxygenation after traumatic brain injury. J Neurosurg. 2006;105:568–75.PubMed

97.

Menon DK, Coles JP, Gupta AK, Fryer TD, Smielewski P, Chatfield DA, Aigbirhio F, Skepper JN, Minhas PS, Hutchinson PJ, Carpenter TA, Clark JC, Pickard JD. Diffusion limited oxygen delivery following head injury. Crit Care Med. 2004;32:1384–90.PubMed

98.

Adamides AA, Rosenfeldt FL, Winter CD, et al. Brain tissue lactate elevations predict episodes of intracranial hypertension in patients with traumatic brain injury. J Am Coll Surg. 2009;209:531–9.PubMed

99.

Belli A, Sen J, Petzold A, Russo S, Kitchen N, Smith M. Metabolic failure precedes intracranial pressure rises in traumatic brain injury: a microdialysis study. Acta Neurochir (Wien). 2008;150:461–9.

100.

Robertson CS, Valadka AB, Hannay HJ, Contant CF, Gopinath SP, Cormio M, Uzura M, Grossman RG. Prevention of secondary ischemic insults after severe head injury. Crit Care Med. 1999;27(10):2086–95.PubMed

101.

Kosty JA, Le Roux PD, Levine J, Park S, Kumar MA, Frangos S, Maloney-Wilensky E, Kofke WA. Brief report: a comparison of clinical and research practices in measuring cerebral perfusion pressure: a literature review and practitioner survey. Anesth Analg. 2013;117(3):694–8.PubMed

102.

Aries MJ, Czosnyka M, Budohoski KP, Steiner LA, Lavinio A, Kolias AG, Hutchinson PJ, Brady KM, Menon DK, Pickard JD, Smielewski P. Continuous determination of optimal cerebral perfusion pressure in traumatic brain injury. Crit Care Med. 2012;40(8):2456–63.PubMed

103.

Güiza F, Depreitere B, Piper I, Van den Berghe G, Meyfroidt G. Novel methods to predict increased intracranial pressure during intensive care and long-term neurologic outcome after traumatic brain injury: development and validation in a multicenter dataset. Crit Care Med. 2013;41(2):554–64.PubMed

104.

Feng M, Zhang Z, Guan C, Hardoon DR, King NK, Pang BC, Ang BT. Utilization of temporal information for intracranial pressure development trend forecasting in traumatic brain injury. Conf Proc IEEE Eng Med Biol Soc. 2012;2012:3930–4.PubMed

105.

Hukkelhoven CW, Steyerberg EW, Habbema JD, Maas AI. Admission of patients with severe and moderate traumatic brain injury to specialized ICU facilities: a search for triage criteria. Intensive Care Med. 2005;31(6):799–806.PubMed

106.

Holliday PO 3rd, Kelly DL Jr, Ball M. Normal computed tomograms in acute head injury: correlation of intracranial pressure, ventricular size, and outcome. Neurosurgery. 1982;10(1):25–8.PubMed

107.

Lobato RD, Sarabia R, Rivas JJ, et al. Normal computerized tomography scans in severe head injury. Prognostic and clinical management implications. J Neurosurg. 1986;65(6):784–9.PubMed

108.

O’Sullivan MG, Statham PF, Jones PA, et al. Role of intracranial pressure monitoring in severely head-injured patients without signs of intracranial hypertension on initial computerized tomography. J Neurosurg. 1994;80(1):46–50.PubMed

Titel: Intracranial Pressure Monitoring: Fundamental Considerations and Rationale for Monitoring
verfasst von: Randall Chesnut
Walter Videtta
Paul Vespa
Peter Le Roux
The Participants in the International Multidisciplinary Consensus Conference on Multimodality Monitoring
Publikationsdatum: 01.12.2014
Verlag: Springer US
Erschienen in: Neurocritical Care / Ausgabe Sonderheft 2/2014
Print ISSN: 1541-6933
Elektronische ISSN: 1556-0961
DOI: https://doi.org/10.1007/s12028-014-0048-y

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