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01-12-2014 | Review Article

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

Authors: Raimund Helbok, DaiWai M. Olson, Peter D. Le Roux, Paul Vespa, The Participants in the International Multidisciplinary Consensus Conference on Multimodality Monitoring

Published in: Neurocritical Care | Special Issue 2/2014

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.

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Title: Intracranial Pressure and Cerebral Perfusion Pressure Monitoring in Non-TBI Patients: Special Considerations
Authors: Raimund Helbok
DaiWai M. Olson
Peter D. Le Roux
Paul Vespa
The Participants in the International Multidisciplinary Consensus Conference on Multimodality Monitoring
Publication date: 01-12-2014
Publisher: Springer US
Published in: Neurocritical Care / Issue Special Issue 2/2014
Print ISSN: 1541-6933
Electronic ISSN: 1556-0961
DOI: https://doi.org/10.1007/s12028-014-0040-6

At a glance: The STEP trials

Springer Medicine

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

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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