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Intracranial Pressure Monitoring: Invasive versus Non-Invasive Methods—A Review
- Source :
- Critical Care Research and Practice, Vol 2012 (2012), Critical Care Research and Practice
- Publication Year :
- 2012
- Publisher :
- Hindawi Limited, 2012.
-
Abstract
- Monitoring of intracranial pressure (ICP) has been used for decades in the fields of neurosurgery and neurology. There are multiple techniques: invasive as well as noninvasive. This paper aims to provide an overview of the advantages and disadvantages of the most common and well-known methods as well as assess whether noninvasive techniques (transcranial Doppler, tympanic membrane displacement, optic nerve sheath diameter, CT scan/MRI and fundoscopy) can be used as reliable alternatives to the invasive techniques (ventriculostomy and microtransducers). Ventriculostomy is considered the gold standard in terms of accurate measurement of pressure, although microtransducers generally are just as accurate. Both invasive techniques are associated with a minor risk of complications such as hemorrhage and infection. Furthermore, zero drift is a problem with selected microtransducers. The non-invasive techniques are without the invasive methods' risk of complication, but fail to measure ICP accurately enough to be used as routine alternatives to invasive measurement. We conclude that invasive measurement is currently the only option for accurate measurement of ICP.
- Subjects :
- Ventriculostomy
medicine.medical_specialty
Optic nerve sheath
business.industry
medicine.medical_treatment
Non invasive
lcsh:Medical emergencies. Critical care. Intensive care. First aid
Gold standard (test)
Review Article
lcsh:RC86-88.9
Critical Care and Intensive Care Medicine
Transcranial Doppler
Surgery
Medicine
Intracranial pressure monitoring
Radiology
Neurosurgery
business
Intracranial pressure
Subjects
Details
- Language :
- English
- ISSN :
- 20901313 and 20901305
- Volume :
- 2012
- Database :
- OpenAIRE
- Journal :
- Critical Care Research and Practice
- Accession number :
- edsair.doi.dedup.....d1e9d27fb60abe4d4a2eec6c29700917