Study of Intracranial Pressure Monitoring In Traumatic Brain Injury
Journal Title: Nepal Journal of Neuroscience - Year 2018, Vol 15, Issue 2
Abstract
Intracranial pressure monitoring is considered the standard of care for severe traumatic brain injury and is used frequently.However, the effi cacy of treatment based on monitoring in improving the outcome has not been rigorously assessed. We conducted a trial in which we included 26 patients of all types of traumatic brain injury (TBI) and they were monitored for intracranial pressure by Conventional fl uid fi lled systemwith a manometer (Group1) and compared with the Fibreoptictransducer-tipped intracranial pressure monitoring system(Group 2).The main aim of this study was to examine the relationship between Intracranial Pressure (ICP) monitoring and in-hospital mortality. The median length of stay in the ICU was similar in the two groups (12 days in the conventional pressure-monitoring group and 9 days in the new fi breoptic group; P=0.25), the number of days of brain-specifi c treatments (e.g., administration of hyperosmolar fl uids and the use of hyperventilation) in the ICU was similar in both groups. The distribution of serious adverse events was similar in the two groups. We concluded that ICP monitoring (as is any monitoring modality) is a useful guide for management. The outcomes are decided by the differences in management protocols that the knowledge of the said parameter brings about. ICP monitoring is recommended for the better management of traumatic brain injury and fi breoptic ICP monitoring seems to be benefi cial than using the conventional methods of ICP monitoring with manometer.
Authors and Affiliations
Dr Nilam Khadka, MCh
Keywords
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