Abstract
The critical care management of patients who have suffered catastrophic neurological injuries such as intracerebral hemorrhage, traumatic brain injury, ischemic stroke and subarachnoid hemorrhage has undergone significant advances in the last few decades. The intensivist caring for these patients now has a full armamentarium of invasive and noninvasive monitoring techniques for gathering real-time information regarding the physiology and metabolism of the injured brain in patients who are comatose, rendering the neurological examination unreliable or incomplete. The monitoring techniques available today in the ICU allow for measurement of intracranial pressure (ICP), cerebral perfusion pressure (CPP), cerebral blood flow (CBF), oxygenation, temperature, cerebral cellular metabolism, and, most recently, intracortical electroencephalography. The data yielded from intracranial monitoring in this subset of critically ill patients provides information down to the cellular level, helping to guide management and improve outcomes.1,2
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Spain D, McIlvoy L, Fix S, et al. Effect of clinical pathway for severe traumatic brain injury on resource utilization. J Trauma. 1998;45(1):101–105.
Simons R, Eliopoulos V, Laflamme D, Brown D. Impact on process of trauma care delivery 1 year after introduction of trauma program in a provincial trauma center. J Trauma. 1999;46(5):811–816.
Davis JW, Davis IC, Bennink LD, et al. Placement of Intracranial Pressure Monitors: Are “Normal” Coagulation Parameters Necessary? J Trauma. 2004;57(6):1173–1177.
American Society of Anesthesiologists Task Force on Blood Component Therapy. Practice guidelines for blood component therapy. Anesthesiology. 1996;84:732–747.
Office of Medical Applications of Research, National Institutes of Health. Fresh frozen plasma: indications and risks. JAMA. 1985;253:551–553.
College of American Pathologists. Practice parameters for the use of fresh-frozen plasma, cryoprecipitate and platelets. JAMA. 1994;271:777–781.
Stoikes NF, Magnotti LJ, Hodges TM, et al. Impact of intracranial pressure monitor prophylaxis on central nervous system infections and bacterial multi-drug resistance. Surg Infect. 2008;9(5):503–508.
Carter LP, Weinand ME, Oommen KJ. Cerebral blood flow (CBF) in intensive care by thermal diffusion. Acta Neurochir Suppl (Wien). 1993;59:43–46.
De Georgia MA, Deoaonkar A. Multimodal monitoring in the neurological intensive care unit. Neurologist. 2005;11(1):45–52.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2010 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Stuart, R.M., Madden, C., Lee, A., Mayer, S.A. (2010). Intracranial Monitoring. In: Frankel, H., deBoisblanc, B. (eds) Bedside Procedures for the Intensivist. Springer, New York, NY. https://doi.org/10.1007/978-0-387-79830-1_16
Download citation
DOI: https://doi.org/10.1007/978-0-387-79830-1_16
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-0-387-79829-5
Online ISBN: 978-0-387-79830-1
eBook Packages: MedicineMedicine (R0)