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Intracranial pressure monitoring

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Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.

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Conclusion

ICP monitoring is an essential tool in neuro-intensive care, allowing for a timely treatment of intracranial hypertension. Furthermore, it also allows for an estimation of intracranial compliance. Proper patient management must take into account both the ICP trend and the information drawn from its waveform.

Severely head injured patients have a high mortality (39–51%) and a high risk of intracranial hypertension in the acute phase; this situation calls for ICP monitoring. Despite the availability of guidelines for the management of head-injured patients, there is still considerable variability in patient management among centres, with indications for ICP monitoring remaining one of the most controversial topics. Although there is not yet evidence that lowering ICP may directly affect outcome, several studies have shown an improved outcome with aggressive ICP management.

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Authors and Affiliations

  1. Department of Pharmacology and Anaesthesiology, Padua University Medical School, Padua, Italy

    M. Munari, S. M. Volpin & E. Facco

Authors
  1. M. Munari
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  2. S. M. Volpin
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  3. E. Facco
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Editor information

Editors and Affiliations

  1. Department of Perioperative Medicine, Intensive Care and Emergency, Trieste University School of Medicine, Trieste, Italy

    Antonino Gullo M.D. (Head) (Head)

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© 2005 Springer-Verlag Italia

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Munari, M., Volpin, S.M., Facco, E. (2005). Intracranial pressure monitoring. In: Gullo, A. (eds) Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.. Springer, Milano. https://doi.org/10.1007/88-470-0351-2_22

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  • DOI: https://doi.org/10.1007/88-470-0351-2_22

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0288-3

  • Online ISBN: 978-88-470-0351-4

  • eBook Packages: MedicineMedicine (R0)

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