Intracranial pressure monitoring for traumatic brain injury in the modern era

Llewellyn C. Padayachy, Anthony A. Figaji, M. R. Bullock

Research output: Contribution to journalArticlepeer-review

45 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)441-452
Number of pages12
JournalChild's Nervous System
Volume26
Issue number4
DOIs
StatePublished - Apr 2010

Keywords

  • Brain monitoring
  • Children
  • Intracranial pressure
  • Neurocritical care
  • Traumatic brain injury

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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