Document Detail


Erroneous intracranial pressure measurements from simultaneous pressure monitoring and ventricular drainage catheters.
MedLine Citation:
PMID:  16960297     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objective of this report is to highlight the potential for false pressure measurements from systems that combine intracranial pressure (ICP) measurement and ventricular drainage. If the ports of the drain become blocked to the extent that they present a high resistance to cerebrospinal fluid flow, then a significant pressure gradient between the inside and outside of the catheter may be established. Thus, any intracatheter transducer will faithfully record a pressure much lower than true ICP. This holds true for catheter-tip transducers when the transducer lies inside the catheter. In the absence of flow, however, pressures will equalize; therefore, accurate measurements may be taken if the drain is temporarily closed. We model this situation and provide simulations of expected measurements in such situations; these compare well to observed clinical readings.
Authors:
A A Birch; C A Eynon; D Schley
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Neurocritical care     Volume:  5     ISSN:  1541-6933     ISO Abbreviation:  Neurocrit Care     Publication Date:  2006  
Date Detail:
Created Date:  2006-09-08     Completed Date:  2006-10-26     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  101156086     Medline TA:  Neurocrit Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  51-4     Citation Subset:  IM    
Affiliation:
Department of Medical Physics and Bioengineering, Southampton General Hospital, Southhampton, Hampshire, UK. tony.birch@suht.swest.nhs.uk
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MeSH Terms
Descriptor/Qualifier:
Adult
Brain Injuries / complications
Catheters, Indwelling
Cerebral Ventricles / surgery
Cerebrospinal Fluid
Diagnostic Errors*
Equipment Failure
Humans
Intracranial Hypertension / complications,  diagnosis*,  surgery
Male
Suction

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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