Intracranial Pressure and Cerebral Perfusion Pressure Monitoring in Non-TBI Patients: Special Considerations

The Participants in the International Multidisciplinary Consensus Conference on Multimodality Monitoring

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

The effect of intracranial pressure (ICP) and the role of ICP monitoring are best studied in traumatic brain injury (TBI). However, a variety of acute neurologic illnesses e.g., subarachnoid hemorrhage, intracerebral hemorrhage, ischemic stroke, meningitis/encephalitis, and select metabolic disorders, e.g., liver failure and malignant, brain tumors can affect ICP. The purpose of this paper is to review the literature about ICP monitoring in conditions other than TBI and to provide recommendations how the technique may be used in patient management. A PubMed search between 1980 and September 2013 identified 989 articles; 225 of which were reviewed in detail. The technique used to monitor ICP in non-TBI conditions is similar to that used in TBI; however, indications for ICP monitoring often are intertwined with the presence of obstructive hydrocephalus and hence the use of ventricular catheters is more frequent. Increased ICP can adversely affect outcome, particularly when it fails to respond to treatment. However, patients with elevated ICP can still have favorable outcomes. Although the influence of ICP-based care on outcome in non-TBI conditions appears less robust than in TBI, monitoring ICP and cerebral perfusion pressure can play a role in guiding therapy in select patients.

Original languageEnglish (US)
Pages (from-to)85-94
Number of pages10
JournalNeurocritical Care
Volume21
Issue number2
DOIs
StatePublished - Oct 1 2014

Fingerprint

Cerebrovascular Circulation
Intracranial Pressure
Brain Injuries
Intracranial Hypertension
Liver Failure
Cerebral Hemorrhage
Encephalitis
Subarachnoid Hemorrhage
Hydrocephalus
Meningitis
PubMed
Brain Neoplasms
Nervous System
Catheters

Keywords

  • Brain edema
  • Coma
  • CPP
  • ICP
  • Intracerebral hemorrhage
  • Subarachnoid hemorrhage
  • Ventriculostomy

ASJC Scopus subject areas

  • Clinical Neurology
  • Critical Care and Intensive Care Medicine

Cite this

The Participants in the International Multidisciplinary Consensus Conference on Multimodality Monitoring (2014). Intracranial Pressure and Cerebral Perfusion Pressure Monitoring in Non-TBI Patients: Special Considerations. Neurocritical Care, 21(2), 85-94. https://doi.org/10.1007/s12028-014-0040-6

Intracranial Pressure and Cerebral Perfusion Pressure Monitoring in Non-TBI Patients : Special Considerations. / The Participants in the International Multidisciplinary Consensus Conference on Multimodality Monitoring.

In: Neurocritical Care, Vol. 21, No. 2, 01.10.2014, p. 85-94.

Research output: Contribution to journalArticle

The Participants in the International Multidisciplinary Consensus Conference on Multimodality Monitoring 2014, 'Intracranial Pressure and Cerebral Perfusion Pressure Monitoring in Non-TBI Patients: Special Considerations', Neurocritical Care, vol. 21, no. 2, pp. 85-94. https://doi.org/10.1007/s12028-014-0040-6
The Participants in the International Multidisciplinary Consensus Conference on Multimodality Monitoring. Intracranial Pressure and Cerebral Perfusion Pressure Monitoring in Non-TBI Patients: Special Considerations. Neurocritical Care. 2014 Oct 1;21(2):85-94. https://doi.org/10.1007/s12028-014-0040-6
The Participants in the International Multidisciplinary Consensus Conference on Multimodality Monitoring. / Intracranial Pressure and Cerebral Perfusion Pressure Monitoring in Non-TBI Patients : Special Considerations. In: Neurocritical Care. 2014 ; Vol. 21, No. 2. pp. 85-94.
@article{0588e2bdc3054f339b6898a1298085b8,
title = "Intracranial Pressure and Cerebral Perfusion Pressure Monitoring in Non-TBI Patients: Special Considerations",
abstract = "The effect of intracranial pressure (ICP) and the role of ICP monitoring are best studied in traumatic brain injury (TBI). However, a variety of acute neurologic illnesses e.g., subarachnoid hemorrhage, intracerebral hemorrhage, ischemic stroke, meningitis/encephalitis, and select metabolic disorders, e.g., liver failure and malignant, brain tumors can affect ICP. The purpose of this paper is to review the literature about ICP monitoring in conditions other than TBI and to provide recommendations how the technique may be used in patient management. A PubMed search between 1980 and September 2013 identified 989 articles; 225 of which were reviewed in detail. The technique used to monitor ICP in non-TBI conditions is similar to that used in TBI; however, indications for ICP monitoring often are intertwined with the presence of obstructive hydrocephalus and hence the use of ventricular catheters is more frequent. Increased ICP can adversely affect outcome, particularly when it fails to respond to treatment. However, patients with elevated ICP can still have favorable outcomes. Although the influence of ICP-based care on outcome in non-TBI conditions appears less robust than in TBI, monitoring ICP and cerebral perfusion pressure can play a role in guiding therapy in select patients.",
keywords = "Brain edema, Coma, CPP, ICP, Intracerebral hemorrhage, Subarachnoid hemorrhage, Ventriculostomy",
author = "{The Participants in the International Multidisciplinary Consensus Conference on Multimodality Monitoring} and Raimund Helbok and Olson, {Dai Wai M.} and {Le Roux}, {Peter D.} and Paul Vespa and Menon, {David K.} and Paul Vespa and Giuseppe Citerio and Bader, {Mary Kay} and Brophy, {Gretchen M.} and Diringer, {Michael N.} and Nino Stocchetti and Walter Videtta and Rocco Armonda and Neeraj Badjatia and Julian Boesel and Randal Chesnut and Sherry Chou and Jan Claassen and Marek Czosnyka and {De Georgia}, Michael and Anthony Figaji and Jennifer Fugate and David Horowitz and Peter Hutchinson and Monisha Kumar and Molly McNett and Chad Miller and Andrew Naidech and Mauro Oddo and O'Phelan, {Kristine H} and Javier Provencio and Corina Puppo and Richard Riker and Claudia Robertson and Schmidt, {J. Michael} and Fabio Taccone",
year = "2014",
month = "10",
day = "1",
doi = "10.1007/s12028-014-0040-6",
language = "English (US)",
volume = "21",
pages = "85--94",
journal = "Neurocritical Care",
issn = "1541-6933",
publisher = "Humana Press",
number = "2",

}

TY - JOUR

T1 - Intracranial Pressure and Cerebral Perfusion Pressure Monitoring in Non-TBI Patients

T2 - Special Considerations

AU - The Participants in the International Multidisciplinary Consensus Conference on Multimodality Monitoring

AU - Helbok, Raimund

AU - Olson, Dai Wai M.

AU - Le Roux, Peter D.

AU - Vespa, Paul

AU - Menon, David K.

AU - Vespa, Paul

AU - Citerio, Giuseppe

AU - Bader, Mary Kay

AU - Brophy, Gretchen M.

AU - Diringer, Michael N.

AU - Stocchetti, Nino

AU - Videtta, Walter

AU - Armonda, Rocco

AU - Badjatia, Neeraj

AU - Boesel, Julian

AU - Chesnut, Randal

AU - Chou, Sherry

AU - Claassen, Jan

AU - Czosnyka, Marek

AU - De Georgia, Michael

AU - Figaji, Anthony

AU - Fugate, Jennifer

AU - Horowitz, David

AU - Hutchinson, Peter

AU - Kumar, Monisha

AU - McNett, Molly

AU - Miller, Chad

AU - Naidech, Andrew

AU - Oddo, Mauro

AU - O'Phelan, Kristine H

AU - Provencio, Javier

AU - Puppo, Corina

AU - Riker, Richard

AU - Robertson, Claudia

AU - Schmidt, J. Michael

AU - Taccone, Fabio

PY - 2014/10/1

Y1 - 2014/10/1

N2 - The effect of intracranial pressure (ICP) and the role of ICP monitoring are best studied in traumatic brain injury (TBI). However, a variety of acute neurologic illnesses e.g., subarachnoid hemorrhage, intracerebral hemorrhage, ischemic stroke, meningitis/encephalitis, and select metabolic disorders, e.g., liver failure and malignant, brain tumors can affect ICP. The purpose of this paper is to review the literature about ICP monitoring in conditions other than TBI and to provide recommendations how the technique may be used in patient management. A PubMed search between 1980 and September 2013 identified 989 articles; 225 of which were reviewed in detail. The technique used to monitor ICP in non-TBI conditions is similar to that used in TBI; however, indications for ICP monitoring often are intertwined with the presence of obstructive hydrocephalus and hence the use of ventricular catheters is more frequent. Increased ICP can adversely affect outcome, particularly when it fails to respond to treatment. However, patients with elevated ICP can still have favorable outcomes. Although the influence of ICP-based care on outcome in non-TBI conditions appears less robust than in TBI, monitoring ICP and cerebral perfusion pressure can play a role in guiding therapy in select patients.

AB - The effect of intracranial pressure (ICP) and the role of ICP monitoring are best studied in traumatic brain injury (TBI). However, a variety of acute neurologic illnesses e.g., subarachnoid hemorrhage, intracerebral hemorrhage, ischemic stroke, meningitis/encephalitis, and select metabolic disorders, e.g., liver failure and malignant, brain tumors can affect ICP. The purpose of this paper is to review the literature about ICP monitoring in conditions other than TBI and to provide recommendations how the technique may be used in patient management. A PubMed search between 1980 and September 2013 identified 989 articles; 225 of which were reviewed in detail. The technique used to monitor ICP in non-TBI conditions is similar to that used in TBI; however, indications for ICP monitoring often are intertwined with the presence of obstructive hydrocephalus and hence the use of ventricular catheters is more frequent. Increased ICP can adversely affect outcome, particularly when it fails to respond to treatment. However, patients with elevated ICP can still have favorable outcomes. Although the influence of ICP-based care on outcome in non-TBI conditions appears less robust than in TBI, monitoring ICP and cerebral perfusion pressure can play a role in guiding therapy in select patients.

KW - Brain edema

KW - Coma

KW - CPP

KW - ICP

KW - Intracerebral hemorrhage

KW - Subarachnoid hemorrhage

KW - Ventriculostomy

UR - http://www.scopus.com/inward/record.url?scp=84924954211&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84924954211&partnerID=8YFLogxK

U2 - 10.1007/s12028-014-0040-6

DO - 10.1007/s12028-014-0040-6

M3 - Article

C2 - 25208677

AN - SCOPUS:84924954211

VL - 21

SP - 85

EP - 94

JO - Neurocritical Care

JF - Neurocritical Care

SN - 1541-6933

IS - 2

ER -