TY - CHAP M1 - Book, Section TI - Intracranial Pressure Monitoring A1 - Moussazadeh, Nelson A1 - Stieg, Philip E. A1 - Mangat, Halinder S. A2 - Oropello, John M. A2 - Pastores, Stephen M. A2 - Kvetan, Vladimir PY - 1 T2 - Critical Care AB - KEY POINTSBy the “Monro-Kellie doctrine,” increase in volume of intracranial contents causes increase in intracranial pressure (ICP) once compensatory mechanisms are exhausted.Intraventricular catheters (IVCs) are the most common mode of direct ICP measurement and remain the “gold standard.” Intraparenchymal probes may also be used via a transcranial placement device, commonly referred to as a “bolt.”Traumatic brain injury (TBI) guidelines provide guidance when to place an ICP measurement device. Placement must be performed by a trained neurosurgeon.Cranial landmarks are used to guide device placement most commonly at “Kocher point.”Infection is the most important risk of IVCs; therefore, they must be removed when pressure measurement or cerebrospinal fluid (CSF) diversion is no longer required. Intraparenchymal probes carry a significantly lower risk of infection. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1136419829 ER -