| Intracranial pressure monitoring for traumatic brain injury in the modern era. | |
| | |
MedLine Citation:
|
PMID: 19937249 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
INTRODUCTION: Intracranial pressure (ICP) has become a cornerstone of care in adult and pediatric patients with traumatic brain injury (TBI). DISCUSSION: Despite the fact that continuous monitoring of ICP in TBI was described almost 60 years ago, there are no randomized trials confirming the benefit of ICP monitoring and treatment in TBI. There is, however, a large body of clinical evidence showing that ICP monitoring influences treatment and leads to better outcomes if part of protocol-driven therapy. However, treatment of ICP has adverse effects, and there are several questions about ICP management that have yet to be definitively answered, particularly in pediatric TBI. This review examines the history and evolution of ICP monitoring, pathophysiological concepts that influence ICP interpretation, ongoing controversies, and the place of ICP monitoring in modern neurocritical care. |
| | |
Authors:
|
Llewellyn C Padayachy; Anthony A Figaji; M R Bullock |
Related Documents
:
|
1128239 - Unususpected meningioma in a patient with pituitary gigantism. case report with autopsy... 1181809 - Arterial oxygen tension and high intracranial pressure. 1605079 - Haemodynamic, intracranial pressure and electrocardiographic changes following subarach... 10796689 - Barbiturates for acute traumatic brain injury. 720099 - Automatic intracranial pressure regulation. 17445619 - Adrenal insufficiency secondary to glucocorticoid withdrawal in patients with brain tumor. 9487409 - Proteinuria, other selected urinary abnormalities and hypertension among teenage second... 1190089 - Systolic hypertension: nonhomogeneous diseases. 3236379 - The use of successive blood-pressure measurements to estimate blood-pressure variability. |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't; Review |
Journal Detail:
|
Title: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery Volume: 26 ISSN: 1433-0350 ISO Abbreviation: Childs Nerv Syst Publication Date: 2010 Apr |
Date Detail:
|
Created Date: 2010-03-22 Completed Date: 2010-06-17 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8503227 Medline TA: Childs Nerv Syst Country: Germany |
Other Details:
|
Languages: eng Pagination: 441-52 Citation Subset: IM |
Affiliation:
|
Division of Neurosurgery, School of Child and Adolescent Health, Red Cross Children's Hospital, University of Cape Town, Cape Town, South Africa. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Animals Brain / pathology, physiopathology Brain Injuries / pathology, physiopathology*, therapy Child Humans Intracranial Pressure / physiology* Monitoring, Physiologic / adverse effects, instrumentation, methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Cerebral energy metabolism and microdialysis in neurocritical care.
Next Document: Methods of monitoring brain oxygenation.