Evidence-Based Indications for ICP Recording After Head Injury. A Review

Abstract

The indication for invasive intracranial pressure (ICP) recording in comatose patients after head injury is a matter of discussion. In this review the evidence-based data are analysed. Monitoring appears useful especially in sedated patients, but there is no study which provides evidence of its overall benefit for the patient. The decision for or against ICP monitoring must therefore be based on weighing the potential benefits versus the risk for the individual patient according to the personal experience and judgement of the attending neurosurgeon.

Key words

head injury - ICP monitoring - prognosis - clinical monitoring

References

• 1 Alderson P, Gadkary C, Signorini DF. Therapeutic hypothermia for head injury.  The Cochrane Database of Systematic Reviews. 2004;  Issue 4; CD001048
• 2 Becker DP, Miller JD, Ward JD. et al . The outcome from severe head injury with early diagnosis and intensive management.  J Neurosurg. 1977;  47 491-502
• 3 Blaha M, Lazar D, Winn RH. et al . Hemorrhagic complications of intracranial pressure monitors in children.  Pediatr Neurosurg. 2003;  39 27-31
• 4 Brain Trauma Foundation . 523 East 72nd Street, 7th Floor, NY, NY 10021, USA.  1995; 
• 5 Brain Trauma Foundation . Guidelines for the Management of Severe Traumatic Brain Injury. 3^rd edition.  J Neurotrauma. 2007;  24 ((Suppl. I)) S1-S106
• 6 Dearden NM, Gibson JS, McDowall DG. et al . Effect of high-dose dexamethasone on outcome from severe head injury.  J Neurosurg. 1986;  64 81-88
• 7 Deutsche Gesellschaft für Neurochirurgie . Leitlinien zur Behandlung des Schädel-Hirn-Traumas des Erwachsenen.  http://www.uni-duesseldorf.de/AWMF/
• 8 Eisenberg HM, Frankowski RF, Contant CF. et al . High-dose barbiturate control of elevated intracranial pressure in patients with severe head injury.  J Neurosurg. 1988;  69 15-23
• 9 Firsching R, Roehl FW, Woischneck D. et al . The predictive value of ICP as compared to magnetic resonance imaging in comatose patients after head injury.  Acta Neurochir Suppl. 2008;  102 237-240
• 10 Forsyth R, Baxter P, Elliot T. Routine intracranial pressure monitoring in acute coma.  Cochrane Database Syst. Rev. 1; 2001; (3): CD 002043.
• 11 Howells T, Elf K, Jones P. et al . Pressure reactivity as a guide in the treatment of cerebral perfusion pressure in patients with brain trauma.  J Neurosurg. 2005;  102 311-317
• 12 Hsiang JK, Chesnut RM, Crisp CB. et al . Early, routine paralysis for intracranial pressure control in severe head injury: is it necessary?.  Crit Care Med. 1994;  22 1471-1476
• 13 Keenan HT, Nocera M, Bratton SL. Frequency of intracranial pressure monitoring in infants and young toddlers with traumatic brain injury.  Ped Crit Care Med. 2005;  6/5 537-541
• 14 Kriegel RJ, Schaller C, Clusmann H. Cranioplasty for large skull defects with PMMA (polymethylmethacrylate) or Tutoplast processed autogenic bone grafts.  Zentralbl Neurochir. 2007;  68 ((4)) 182-189
• 15 Kuchta J, Wedekind C, Ernestus RI. et al . The hour-glass model of corpus callosum injury.  Cent Eur Neurosurg. 2009;  70 125-129
• 16 Kuchta J, Klug N, Ernestus RI. Nonconvulsive status epilepticus as a possible cause of coma in neurosurgical intensive care.  Cent Eur Neurosurg. 2009;  70 176-179
• 17 Lundberg N, Troupp H, Lorin H. Continuous recording of the ventricular-fluid pressure in patients with severe acute traumatic brain injury.  A preliminary report. J Neurosurg. 1965;  22 581-590
• 18 Marshall LF, Smith RW, Rauscher LA. et al . Mannitol dose requirements in brain-injured patients.  J Neurosurg. 1978;  48 169-172
• 19 Miller JD, Becker DP, Ward JD. et al . Significance of intracranial hypertension in severe head injury.  J Neurosurg. 1977;  47 503-516
• 20 Miller JD, Butterworth JF, Gudeman SK. et al . Further experience in the management of severe head injury.  J Neurosurg. 1981;  54 289-299
• 21 Miller JD. Prediction of outcome after head injury. A critical review.. In: Vigouroux RP, ed. Extracerebral Collections, Advances in Neurotraumatology. Vol. I. Vienna, New York: Springer-Verlag; 1986: 230-247pp??
• 22 Muizelaar JP, Marmarou A, Ward JD. et al . Adverse effects of prolonged hyperventilation in patients with severe head injury: a randomized clinical trial.  J Neurosurg. 1991;  75 731-739
• 23 Narayan RK, Greenberg RP, Miller JD. et al . Improved confidence of outcome prediction in severe head injury. A comparative analysis of the clinical examination, multimodality evoked potentials, CT scanning, and intracranial pressure.  J Neurosurg. 1981;  54 751-762
• 24 Palmer S, Bader M, Azhar Q. et al . The impact on outcomes in a community hospital setting of using the AANS traumatic injury guidelines.  J Trauma. 2001;  50 ((4)) 657-662
• 25 Petridis AK, Dörner L, Doukas A. et al . Acute subdural hematoma in the elderly; clinical and CT factors influencing the surgical treatment decision.  Cent Eur Neurosurg. 2009;  70 73-78
• 26 Richard KE, Frowein RA. Prognostic significance of intracranial pressure and neurological condition in acute brain lesions.. In: Shulman K, Marmarou A, Miller J, Becker D, eds. Intracranial Pressure. Vol. IV. Berlin: Springer-Verlag; 1980: 10-16
• 27 Roberts J. Barbiturates for acute traumatic brain injury.  The Cochrane Database Syst. Rev. 2000;  (2): CD000033
• 28 Schoch B, Regel JP, Nierhaus A. et al . Predictive value of intrathecal interleukin-6 for ventriculostomy-related infection.  Zentralbl Neurochir. 2008;  69 ((2)) 80-86
• 29 Servadei F, Antonelli V, Giuliani G. et al . Evolving lesions in traumatic subarachnoid hemorrhage: Prospective study of 110 patients with emphasis on the role of ICP monitoring.  Acta Neurochir Suppl. 2002;  81 81-82
• 30 Shafi S, Diaz-Arrastia R, Madden C. et al . Intracranial pressure monitoring in brain-injured patients is associated with worsening of survival.  J Trauma. 2008;  64 ((2)) 335-340
• 31 Thompson HJ, Rivara FP, Jurkovich GJ. et al . Evaluation of the effect of intensity of care on mortality after traumatic brain injury.  Crit Care Med. 2008;  36 ((1)) 282-290

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