In some patients, intracerebral hemorrhage (ICH) causes life-threatening elevations in intracranial pressure (ICP) arising from mass effect of the hematoma and edema. Accordingly, edema is a common endpoint to gauge treatment efficacy in rodent ICH models. Despite widespread reliance on edema, its relationship with ICP and cerebral perfusion pressure (CPP) is unknown. Blood pressure (BP) and IC...

BACKGROUND The waveform morphology of intracranial pressure pulses (ICP) is an essential indicator for monitoring, and forecasting critical intracranial and cerebrovascular pathophysiological variations. While current ICP pulse analysis frameworks offer satisfying results on most of the pulses, we observed that the performance of several of them deteriorates significantly on abnormal, or simply...

Acute increase of intracranial pressure (ICP) usually has to be treated with an external ventricular drainage (EVD). Current standard mechanical EVD carry a lot of disadvantages, which hypothetically could be better managed by a newly developed electromechanical EVD. In this report our first preliminary results of such an electromechanical EVD applied in a porcine animal model are presented. Th...

© 2015 Indian Journal of Critical Care Medicine | Published by Wolters Kluwer Medknow Raised intracranial pressure (ICP) is a complication not just of traumatic brain injury and other acute cerebral insults, but also of a number of general medical conditions. Monitoring of ICP is of paramount importance in Neurointensive Care Unit. Increased ICP causes brain insult which may be associated with ...

Intracranial pressure (ICP) belongs among relevant physiological parameters that are advised to be monitored at emergency units with patients after severe traumatic brain injury. However no advanced tools in a form of alarm based on ICP time series were developed. Procedure for assessment regarding actual degree of lethality is presented. ICP time segments and its derived features are applied i...

Methods Twenty patients with TBI and Glasgow coma scale below 9 enrolled in the study. Mean age was 39.3 ± 13.6 years, male/female 18/2. All patients were operated: 6 patients underwent craniotomy and intracranial hematoma removing; 11 decompressive craniotomy and intracranial hematoma removing. In 3 patients only ICP-sensor was implanted. ICP-monitoring was used in all patients. Ten patients w...

OBJECT Severely increased intracranial pressure (ICP) can be life threatening in patients who had previously undergone shunt treatment but who do not experience ventricular enlargement. The authors analyzed the utility of placing shunts into the cisterna magna concurrently with ventricular shunts in patients who were not candidates for lumboperitoneal (LP) shunt placement. METHODS Ten patient...

Although intracranial pressure (ICP) is essential to guide management of patients suffering from acute brain diseases, this signal is often neglected outside the neurocritical care environment. This is mainly attributed to the intrinsic risks of the available invasive techniques, which have prevented ICP monitoring in many conditions affecting the intracranial homeostasis, from mild traumatic b...

Head injury is a common form of trauma. For example, in the UK head injury occurs in more than 500 000 persons per annum of which about 10% are diagnosed as severe, 15% moderate and the remainder as minor head injury (Miller et al., 1992; Pickard and Czosnyka, 1993). Head trauma is a significant cause of death and disability, especially in young males (median age < 30) and is associated with ra...

BACKGROUND Intracranial pressure (ICP) monitoring is a cornerstone of care for severe traumatic brain injury (TBI). Management of ICP can help ensure adequate cerebral blood flow and oxygenation. However, studies indicate that brain hypoxia may occur despite normal ICP and the relationship between ICP and brain oxygenation is poorly defined. This is particularly important for children in whom l...