RT Book, Section
A1 Moussazadeh, Nelson
A1 Stieg, Philip E.
A1 Mangat, Halinder S.
A2 Oropello, John M.
A2 Pastores, Stephen M.
A2 Kvetan, Vladimir
SR Print(0)
ID 1136419829
T1 Intracranial Pressure Monitoring
T2 Critical Care
YR 1
FD 1
PB McGraw-Hill Education
PP New York, NY
SN 9780071820813
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1136419829
RD 2024/04/19
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.