Measuring and Monitoring ICP in Neurocritical Care: Results from a National Practice Survey

Olson, DaiWai M.; Batjer, H. Hunt; Abdulkadir, Kamal; Hall, Christiana E.

doi:10.1007/s12028-013-9847-9

Cited by 34 publications

(21 citation statements)

References 24 publications

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“…Although normal CT brain findings have low incidence of ICP elevation in TBI, a subset population of TBI patients with age over 40, systolic blood pressure under 90 mmHg, and clinical evidence of posturing require ICP monitoring regardless of CT findings [2, 4]. Evidence for improved outcomes with continuous ICP monitoring has been varied [6, 7••, 8, 9] leading to subsequent variability of ICP monitoring practices amongst various NICU centers [10, 11]. The most recent MMM guidelines have subsequently been formed to provide expert consensus on the use of these monitoring modalities and a more congruent practice amongst difference centers.…”

Section: Intracranial Pressurementioning

confidence: 99%

Brain Multimodality Monitoring: Updated Perspectives

Roh

Park

2016

Curr Neurol Neurosci Rep

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The challenges posed by acute brain injury (ABI) involve the management of the initial insult in addition to downstream inflammation, edema, and ischemia that can result in secondary brain injury (SBI). SBI is often subclinical, but can be detected through physiologic changes. These changes serve as a surrogate for tissue injury/cell death and are captured by parameters measured by various monitors that measure intracranial pressure (ICP), cerebral blood flow (CBF), brain tissue oxygenation (PbtO2), cerebral metabolism, and electrocortical activity. In the ideal setting, multimodality monitoring (MMM) integrates these neurological monitoring parameters with traditional hemodynamic monitoring and the physical exam, presenting the information needed to clinicians who can intervene before irreversible damage occurs. There are now consensus guidelines on the utilization of MMM, and there continue to be new advances and questions regarding its use. In this review, we examine these recommendations, recent evidence for MMM, and future directions for MMM.

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Section: Intracranial Pressurementioning

confidence: 99%

Brain Multimodality Monitoring: Updated Perspectives

Roh

Park

2016

Curr Neurol Neurosci Rep

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“…42 Studies have demonstrated that when ICP is unresponsive to medical therapy, there is an increase in poor outcome. [43][44][45][46][47][48][49] Recent literature has begun to question the practice variation in ICP monitoring, 50,51 and the optimal target for interventions aimed to treat ICP. 52…”

Section: Intracranial Pressurementioning

confidence: 99%

Advances in Cerebral Monitoring for the Patient with Traumatic Brain Injury

Mahdavi

Pierre-Louis

et al. 2015

Critical Care Nursing Clinics of North America

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“…2 The ICP monitoring techniques evolved from invasive to noninvasive, both with their limitations and advantages. The invasive method is characterized as a procedure in which a catheter is inserted in the intraventricular, subarachnoid or intraparenchymal region, which may expose the patient to risks of precipitation of intracranial hematoma, aggravated cerebral edema, damage to the parenchyma, intracerebral hemorrhage and infection.…”

Section: Introductionmentioning

confidence: 99%

Desenvolvimento De Tecnologia Digital Educacional Sobre Monitoração Da Pressão Intracraniana Minimamente Invasiva

Carvalho

Domingues

Zem-Mascarenhas

2018

Texto contexto - enferm.

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RESUMO Objetivo: desenvolver uma tecnologia digital educacional sobre um método novo para monitorar a pressão intracraniana para enfermeiros, médicos e fisioterapeutas. Método: estudo descritivo, do tipo pesquisa metodológica aplicada de produção tecnológica. Para a construção da tecnologia digital educacional, adotou-se o Planejamento de Atividades de Aprendizado Apoiadas por Computador. Resultados: o produto foi avaliado por especialistas em usabilidade, utilizando as dez heurísticas de Nielsen. Os problemas de usabilidade identificados por meio das heurísticas violadas foram considerados para a construção da versão final da tecnologia digital educacional e é composta por 36 telas e locução na língua português. Conclusão: o Planejamento de Atividades de Aprendizado Apoiadas por Computador mostrou-se adequado para o alcance do objetivo proposto podendo ser utilizado para o desenvolvimento de recursos tecnológicos digitais.

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Measuring and Monitoring ICP in Neurocritical Care: Results from a National Practice Survey

Abstract: The results highlight the need to develop standardized approaches to measuring, monitoring, recording, and treating ICP.

Cited by 34 publications

References 24 publications

Brain Multimodality Monitoring: Updated Perspectives

Brain Multimodality Monitoring: Updated Perspectives

Advances in Cerebral Monitoring for the Patient with Traumatic Brain Injury

Desenvolvimento De Tecnologia Digital Educacional Sobre Monitoração Da Pressão Intracraniana Minimamente Invasiva

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