Assessment of increased intracranial pressure in patients with brain injury

Background: Monitoring and managing elevated intracranial pressure (ICP) is one of the core topics in neurocritical care. Although invasive methods are regarded as standard means, recent development non-invasive monitoring devices help clinicians handle ICP issues without additional risks device-related complications.Current Concepts: According to Monro–Kellie hypothesis, any brain injury that can cause a mass effect will lead elevation. Therefore, an surge beyond capacity compensatory reserve decrease cerebral blood flow may end up causing secondary damage. Indications for vary according underlying conditions or severity Regardless, considered when there risk In addition monitoring, external ventricular drainage catheters used therapeutically drain cerebrospinal fluid reduce ICP. Several probes available based on measurement types. Recently, have been developed increasingly patients with severe injuries. Pulsatility index from transcranial Doppler ultrasonography, quantitative pupillary light reflex automated pupillometer, optic nerve sheath diameter using ultrasonography commonly surrogates surges neurointensive care units.Discussion Conclusion: essential Understanding differences among monitors determining appropriate necessary optimizing patients’ unit.