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Since without prospective randomized studies it is not possible to have a clear attitude towards the importance of intracranial pressure monitoring, this study was aimed at examining the prognostic effect of the intracranial pressure monitoring and intracranial pressure oriented therapy in severe brain trauma patients, and at defining optimal intracranial pressure values for starting the treatm...

Recent studies have demonstrated that bedside cranial burr hole and insertion of intraparenchymal catheters for intracranial pressure monitoring performed by intensive care physicians is a safe procedure, with a complication rate comparable to other series published by neurosurgeons. The overall morbidity rate is comparable to, or even lower than, that caused by central vein catheterization. Th...

Brain injury is the result of both primary and secondary damage, yielded by a complex range of factors including ischemia, biochemical changes and inflammatory cascade. Secondary brain injury may be caused by systemic or intracranial mechanisms including oligaemia due to low cerebral perfusion pressure (CPP) or increased cerebral vascular resistance (vascular distortion or cerebro-vascular narr...

Free full text available from www.ijccm.org A b st ra ct Though there is no Class I evidence for the benefit of intracranial pressure (ICP) monitoring, the bulk of the published literature supports its use when indicated. This review deals with the pathophysiology of raised ICP, evidence for and against monitoring, and basic guidelines for monitoring. It is unfortunate that ICP monitoring is no...

Intracranial pressure (ICP) measurement is an extremely important part of the neurosurgical armamentarium. Not only is raised ICP the commonest cause of death in neurosurgical patients, it is extremely common in patients suffering from head injury. In this latter group, 40% of patients who are admitted in an unconscious state have raised ICP, and in 50% of those who die, raised ICP is the main ...