Efeito Da Hemodiálise Na Complacência Cerebral Avaliada De Forma Não Invasiva: Relato De Caso / Effect of Hemodialysis on Cerebral Compliance Assessed in a Non-Invasive Way: Case Report

Rickli, Cristiane; Koch, Mariana Schechtel; Bueno, Bruna França; Vellosa, José Carlos Rebuglio

doi:10.34117/bjdv7n1-689

Cited by 1 publication

(2 citation statements)

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“…Apart from experimental and non-original papers, most of these articles were piloting the use of the device in patients with various neurological and non-neurological conditions. These included cryptococcal meningitis [5], renovascular hypertension [26], pediatric hydrocephalus [2], obesity [8], critical COVID-19 [10], end-stage renal disease [41], pregnancy [19], patients sedated for gastrointestinal endoscopy [24], sedentary chronic stroke patients [40], hemodialysis patients [42], prostatectomy surgery patients [45], fibromyalgia [33], cardiovascular surgery patients [1], diabetes and chronic kidney disease [35], and migraine [14]. To the best of our knowledge, this is the first prospective study to compare the Brain4Care noninvasive method with the invasive gold standard in TBI.…”

Section: Discussionmentioning

confidence: 99%

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Can a new noninvasive method for assessment of intracranial pressure predict intracranial hypertension and prognosis?

et al. 2023

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Purpose Individuals with TBI are at risk of intracranial hypertension (ICH), and monitoring of intracranial pressure (ICP) is usually indicated. However, despite many new noninvasive devices, none is sufficiently accurate and effective for application in clinical practice, particularly in the management of TBIs. This study aimed to compare the noninvasive Brain4Care system (nICP) with invasive ICP (iICP) curve parameters in their ability to predict ICH and functional prognosis in severe TBI. Methods Observational, descriptive-analytical, and prospective study of 22 patients between 2018 and 2021, simultaneously monitored with nICP and iICP. The independent variables evaluated were the presence of ICH and functional prognoses. The dependent variables were the P2/P1 pressure ratio metrics, time to peak (TTP), and TTP × P2/P1. Results We found a good nonlinear correlation between iICP and nICP waveforms, despite a moderate Pearson’s linear correlation. The noninvasive parameters of P2/P1, P2/P1 × TTP, and TTP were not associated with outcomes or ICH. The nICP P2/P1 ratio showed sensitivity/specificity/accuracy (%) of 100/0/56.3, respectively for 1-month outcomes and 77.8/22.2/50 for 6-month outcomes. The nICP TTP ratio had values of 100/0/56.3 for 1-month and 99.9/42.9/72.2 for 6-month outcomes. The nICP P2/P1 × TTP values were 100/0/56.3 for 1-month outcomes and 81.8/28.6/61.1 for 6-month outcomes. Conclusion Brain4Care’s noninvasive method showed low specificity and accuracy and cannot be used as the sole means of monitoring ICP in patients with severe TBI. Future studies with a larger sample of patients with P2 > P1 and new nICP curve parameters are warranted. Supplementary Information The online version contains supplementary material available at 10.1007/s00701-023-05580-z.

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Section: Discussionmentioning

confidence: 99%

“…Since 2013, many articles have been published on the use of the Brain4Care® system in various diseases with variable results [2,5,8,10,19,27,[40][41][42][43][44]. The system uses a strain gauge sensor on the scalp, enabling noninvasive monitoring of ICP (nICP).…”

Section: Introductionmentioning

confidence: 99%

Can a new noninvasive method for assessment of intracranial pressure predict intracranial hypertension and prognosis?

et al. 2023

View full text Add to dashboard Cite

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Efeito Da Hemodiálise Na Complacência Cerebral Avaliada De Forma Não Invasiva: Relato De Caso / Effect of Hemodialysis on Cerebral Compliance Assessed in a Non-Invasive Way: Case Report

Abstract: forma não invasiva, considerando que esta avaliação poderá contribuir na terapêutica de pacientes com DRC em HD.

Cited by 1 publication

References 5 publications

Can a new noninvasive method for assessment of intracranial pressure predict intracranial hypertension and prognosis?

Can a new noninvasive method for assessment of intracranial pressure predict intracranial hypertension and prognosis?

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