Impact of Intracranial Pressure Monitoring on Prognosis of Patients With Severe Traumatic Brain Injury

Abstract

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The Assessment of Cognitive Function Determines the Time of Operation of Hydrocephalus Drainage in Severe TBI

“…As neurosurgery, the secondary chronic hydrocephalus increased risk accompanied by unstable intracranial pressure, but VPS do not have to be conducted immediately due to slow progress and age in such cases [8]. As neurorehabilitation, it is important to perform cognitive training and movement training in earlier stage without high intracranial pressure.…”

Visibility Graph Analysis of Intraspinal Pressure Signal Predicts Functional Outcome in Spinal Cord Injured Patients

“…Recently, the value of ICP monitoring in TBI has been questioned because of absence of Class I evidence that ICP-directed management improves outcome 23 . Large observational studies 24,25 and sophisticated analysis of ICP signals 26 indicate that ICP-directed treatments have the potential to improve outcome, provided that patient care is targeted to individualized optimal CPP values that vary widely between patients. The ISP monitoring field has a lot to learn from the pitfalls of ICP monitoring e.g.…”

Management of intracranial hypertension in patients neurocriticos: integrative review

“…In summary the possible effects adeversos stand out as isquemia cerebral, 6,13 hypoxia/hypoxemia cerebral, [14][15][16][17][18][19][20][21][22] The main secondary causes (extracranial) are airway obstruction; Hypoxia or hypercapnia or hypercarbia (hypoventilation); Hypertension (pain / cough) and hypotension (hypovolemia / sedation); Posture of the patient (head rotation); hyperpyrexia; seizures; And metabolic drugs (e.g., tetracycline, rofecoxib, divalproex sodium, lead poisoning); Others (eg, cerebral edema high altitude, liver failure). The causes of HIC postoperative can present as a mass lesion (hematoma); Edema; Increased cerebral blood volume (vasodilation); LCR disorders.…”

“…The causes of HIC postoperative can present as a mass lesion (hematoma); Edema; Increased cerebral blood volume (vasodilation); LCR disorders. 5,[13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31] The most commonly used technique in clinical practice to monitor the peak involves an intraventricular or intraparenchymal catheter system, which is still considered the gold standard for monitoring ICP. These advances in PIC monitoring technique provides a variety of methods to assess ICP.…”