Skip to main content Accessibility help
×
Hostname: page-component-848d4c4894-p2v8j Total loading time: 0.001 Render date: 2024-06-04T05:36:36.825Z Has data issue: false hasContentIssue false

Chapter 11 - Intracranial Pressure Monitoring in Head Injury

Published online by Cambridge University Press:  28 April 2020

Peter C. Whitfield
Affiliation:
Derriford Hospital, Plymouth
Jessie Welbourne
Affiliation:
University Hospitals, Plymouth
Elfyn Thomas
Affiliation:
Derriford Hospital, Plymouth
Fiona Summers
Affiliation:
Aberdeen Royal Infirmary
Maggie Whyte
Affiliation:
Aberdeen Royal Infirmary
Peter J. Hutchinson
Affiliation:
Addenbrooke’s Hospital, Cambridge
Get access

Summary

Intracranial pressure (ICP) is well recognised as a critical parameter to both measure and influence in the management of the head injured patient. Since Lundberg’s seminal studies, ICP has arguably become the major focus of monitoring in head injury, as well as a number of other neurosurgical scenarios.1 Mean ICP and the features that make up the ICP waveform provide insight into the state of elastance and compliance of the injured brain, impending trends and events related to changes in intracranial pathophysiology, and also end-prognosis in traumatic brain injury (TBI).

Type
Chapter
Information
Traumatic Brain Injury
A Multidisciplinary Approach
, pp. 110 - 131
Publisher: Cambridge University Press
Print publication year: 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Lundberg, N. Continuous recording and control of ventricular fluid pressure in neurosurgical practice. Acta Psychiatr Scand Suppl 1960;36(149):1193.Google Scholar
Pollock, LJ, Boshes, B. Cerebrospinal fluid pressure. Arch Neurol Psychiatr 1936;36(5):931–74.CrossRefGoogle Scholar
Magnaes, B. Body position and cerebrospinal fluid pressure. Part 2: clinical studies on orthostatic pressure and the hydrostatic indifferent point. J Neurosurg 1976;44(6):698705.Google Scholar
Magnaes, B. Body position and cerebrospinal fluid pressure. Part 1: clinical studies on the effect of rapid postural changes. J Neurosurg 1976;44(6):687–97.Google Scholar
Wilkins, R, Wilkins, G. Neurosurgical Classics II: Thieme, 2000.Google Scholar
Czosnyka, M, Pickard, JD. Monitoring and interpretation of intracranial pressure. J Neurol Neurosurg Psychiatr 2004;75(6):813–21.CrossRefGoogle ScholarPubMed
Steiner, LA, Andrews, PJ. Monitoring the injured brain: ICP and CBF. Br J Anaesth 2006;97(1):2638.Google Scholar
Aucoin, PJ, Kotilainen, HR, Gantz, NM, et al. Intracranial pressure monitors: epidemiologic study of risk factors and infections. Am J Med 1986;80(3):369–76.Google Scholar
Mayhall, CG, Archer, NH, Lamb, VA, et al. Ventriculostomy-related infections. A prospective epidemiologic study. New Engl J Med 1984;310(9):553–9.Google Scholar
de Jong, W. Blood pressure variability in neonates [PhD thesis]. Technical University of Eindhoven; 2000.Google Scholar
Citerio, G, Piper, I, Cormio, M, et al. Bench test assessment of the new Raumedic Neurovent-P ICP sensor: a technical report by the BrainIT group. Acta Neurochir 2004;146(11):1221–6.Google Scholar
Fernandes, HM, Bingham, K, Chambers, IR, et al. Clinical evaluation of the Codman microsensor intracranial pressure monitoring system. Acta Neurochir Suppl 1998;71:44–6.Google Scholar
Wolfla, CE, Luerssen, TG, Bowman, RM, et al. Brain tissue pressure gradients created by expanding frontal epidural mass lesion. J Neurosurg 1996;84(4):642–7.Google Scholar
Padayachy, LC. Non-invasive intracranial pressure assessment. Child’s Nervous Syst 2016;32(9):1587–97.Google Scholar
Robba, C, Bacigaluppi, S, Cardim, D, et al. Non-invasive assessment of intracranial pressure. Acta Neurol Scand 2016;134(1):421.Google Scholar
Albeck, MJ, Borgesen, SE, Gjerris, F, et al. Intracranial pressure and cerebrospinal fluid outflow conductance in healthy subjects. J Neurosurg 1991;74(4):597600.Google Scholar
Chapman, PH, Cosman, ER, Arnold, MA. The relationship between ventricular fluid pressure and body position in normal subjects and subjects with shunts: a telemetric study. Neurosurgery 1990;26(2):181–9.Google Scholar
Chan, JW. Current concepts and strategies in the diagnosis and management of idiopathic intracranial hypertension in adults. J Neurol 2017;264(8):1622–33.Google Scholar
Carney, N, Totten, AM, O’Reilly, C, et al. Guidelines for the management of severe traumatic brain injury, fourth edition. Neurosurgery 2017;80(1):615.CrossRefGoogle ScholarPubMed
Sorrentino, E, Diedler, J, Kasprowicz, M, et al. Critical thresholds for cerebrovascular reactivity after traumatic brain injury. Neurocrit Care 2012;16(2):258–66.Google Scholar
Chesnut, RM, Temkin, N, Carney, N, et al. A trial of intracranial-pressure monitoring in traumatic brain injury. New Engl J Med 2012;367(26):2471–81.Google Scholar
Chesnut, RM. Intracranial pressure monitoring: headstone or a new head start. The BEST TRIP trial in perspective. Intensive Care Med 2013;39(4):771–4.Google Scholar
Sheth, KN, Stein, DM, Aarabi, B, et al. Intracranial pressure dose and outcome in traumatic brain injury. Neurocrit Care 2013;18(1):2632.Google Scholar
Vik, A, Nag, T, Fredriksli, OA, et al. Relationship of ‘dose’ of intracranial hypertension to outcome in severe traumatic brain injury. J Neurosurg 2008;109(4):678–84.Google Scholar
Julien, C. The enigma of Mayer waves: Facts and models. Cardiovascul Res 2006;70(1):1221.Google Scholar
Spiegelberg, A, Preuß, M, Kurtcuoglu, V. B-waves revisited. Interdiscip Neurosurg 2016;6:1317.Google Scholar
Castellani, G, Zweifel, C, Kim, DJ, et al. Plateau waves in head injured patients requiring neurocritical care. Neurocrit Care 2009;11(2):143–50.Google Scholar
Radolovich, DK, Aries, MJ, Castellani, G, et al. Pulsatile intracranial pressure and cerebral autoregulation after traumatic brain injury. Neurocrit Care 2011;15(3):379–86.Google Scholar
Eide, PK, Sorteberg, W. Diagnostic intracranial pressure monitoring and surgical management in idiopathic normal pressure hydrocephalus: a 6-year review of 214 patients. Neurosurgery 2010;66(1):8091.Google Scholar
Kirkness, CJ, Mitchell, PH, Burr, RL, et al. Intracranial pressure waveform analysis: clinical and research implications. J Neurosci Nurs 2000;32(5):271–7.Google Scholar
Hu, X, Xu, P, Scalzo, F, et al. Morphological clustering and analysis of continuous intracranial pressure. IEEE Trans Bio-med Eng 2009;56(3):696705.Google Scholar
Hu, X, Xu, P, Asgari, S, et al. Forecasting ICP elevation based on prescient changes of intracranial pressure waveform morphology. IEEE Trans Bio-med Eng 2010;57(5):1070–8.Google ScholarPubMed
Czosnyka, Z, Keong, N, Kim, DJ, et al. Pulse amplitude of intracranial pressure waveform in hydrocephalus. Acta Neurochir Suppl 2008;102:137–40.Google Scholar
Robertson, CS, Narayan, RK, Contant, CF, et al. Clinical experience with a continuous monitor of intracranial compliance. J Neurosurg 1989;71(5 Pt 1):673–80.Google Scholar
Foltz, EL, Blanks, JP, Yonemura, K. CSF pulsatility in hydrocephalus: respiratory effect on pulse wave slope as an indicator of intracranial compliance. Neurol Res 1990;12(2):6774.CrossRefGoogle ScholarPubMed
Westhout, FD, Pare, LS, Delfino, RJ, et al. Slope of the intracranial pressure waveform after traumatic brain injury. Surg Neurol 2008;70(1):70–4; discussion 74.Google Scholar
Gao, L, Smielewski, P, Czosnyka, M, et al. Cerebrovascular Signal Complexity Six Hours after Intensive Care Unit Admission Correlates with Outcome after Severe Traumatic Brain Injury. J Neurotrauma 2016;33(22):2011–18.CrossRefGoogle ScholarPubMed
Burr, RL, Kirkness, CJ, Mitchell, PH. Detrended fluctuation analysis of intracranial pressure predicts outcome following traumatic brain injury. IEEE Trans Bio-med Eng 2008;55(11):2509–18.Google Scholar
Sourina, O, Ang, B, Nguyen, MK. Fractal-based approach in analysis of intracranial pressure (ICP) in severe head injury. In Proceedings of the 10th IEEE International Conference on Information Technology and Applications in Biomedicine; 2010.CrossRefGoogle Scholar
Lu, CW, Czosnyka, M, Shieh, JS, et al. Complexity of intracranial pressure correlates with outcome after traumatic brain injury. Brain 2012;135(Pt 8): 2399–408.CrossRefGoogle ScholarPubMed
Czosnyka, M, Smielewski, P, Kirkpatrick, P, et al. Continuous assessment of the cerebral vasomotor reactivity in head injury. Neurosurgery 1997;41(1):1117; discussion 17–19.Google Scholar
Fraser, CD, 3rd, Brady, KM, Rhee, CJ, et al. The frequency response of cerebral autoregulation. J Appl Physiol 2013;115(1):52–6.Google Scholar
Brady, KM, Lee, JK, Kibler, KK, et al. Continuous measurement of autoregulation by spontaneous fluctuations in cerebral perfusion pressure: comparison of 3 methods. Stroke 2008;39(9):2531–7.Google Scholar
Wang, EC, Ang, BT, Wong, J, et al. Characterization of cerebrovascular reactivity after craniectomy for acute brain injury. Br J Neurosurg 2006;20(1):2430.Google Scholar
Avezaat, CJ, van Eijndhoven, JH, Wyper, DJ. Cerebrospinal fluid pulse pressure and intracranial volume-pressure relationships. J Neurol Neurosurg Psychiatr 1979;42(8):687700.Google Scholar
Liu, X, Donnelly, J, Czosnyka, M, Aries, M, Brady, K, Cardim, D, Robba, C, Cabeleira, M, Kim, D-J, Haubrich, C, Hutchinson, P, Smielewski, P. Cerebrovascular pressure reactivity monitoring using wavelet analysis in traumatic brain injury patients: A retrospective study. PLoS Med 2017;14. doi:10.1371/journal.pmed.1002348.Google Scholar
Aries, MJ, Czosnyka, M, Budohoski, KP, et al. Continuous monitoring of cerebrovascular reactivity using pulse waveform of intracranial pressure. PLoS Med 2012;17(1):6776.Google Scholar
Liu, X, Donnelly, J. Cerebrovascular pressure reactivity monitoring using wavelet analysis in traumatic brain injury patients: a retrospective study. PLoS Med 2017;14(7):e1002348.Google Scholar
Zeiler, FA, Donnelly, J, Menon, D, et al. A description of a new continuous physiologic index in TBI using the correlation between pulse amplitude of icp and cerebral perfusion pressure. J Neurotrauma 2018 Feb 9. doi:10.1089/neu.2017.5241. [Epub ahead of print]Google Scholar
Zeiler, FA, Donnelly, J, Menon, DK, et al. Continuous autoregulatory indices derived from multi-modal monitoring: each one is not like the other. J Neurotrauma 2017;34(22):3070–80.Google Scholar
Balestreri, M, Czosnyka, M, Hutchinson, P, et al. Impact of intracranial pressure and cerebral perfusion pressure on severe disability and mortality after head injury. Neurocrit Care 2006;4(1):813.Google Scholar
Hutchinson, P, Timofeev, I, Kirkpatrick, P. Surgery for brain edema. Neurosurg Focus 2007;22(5):E14.CrossRefGoogle ScholarPubMed
Cooper, DJ, Rosenfeld, JV, Murray, L, et al. Decompressive craniectomy in diffuse traumatic brain injury. New Engl J Med 2011;364(16):1493–502.Google Scholar
Hutchinson, PJ, Kolias, AG, Timofeev, IS, et al. Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension. New Engl J Med 2016;375(12):1119–30.Google Scholar
Czosnyka, M, Guazzo, E, Whitehouse, M, et al. Significance of intracranial pressure waveform analysis after head injury. Acta Neurochir 1996;138(5):531–41; discussion 41–2.Google Scholar
Steiner, LA, Balestreri, M, Johnston, AJ, et al. Predicting the response of intracranial pressure to moderate hyperventilation. Acta Neurochir 2005;147(5):477–83; discussion 83.Google Scholar
Whitfield, PC, Patel, H, Hutchinson, PJ, et al. Bifrontal decompressive craniectomy in the management of posttraumatic intracranial hypertension. Br J Neurosurg 2001;15(6):500–7.Google Scholar
Czosnyka, M, Smielewski, P, Timofeev, I, et al. Intracranial pressure: more than a number. Neurosurg Focus 2007;22(5):E10.Google Scholar
Hiler, M, Czosnyka, M, Hutchinson, P, et al. Predictive value of initial computerized tomography scan, intracranial pressure, and state of autoregulation in patients with traumatic brain injury. J Neurosurg 2006;104(5):731–7.Google Scholar
Balestreri, M, Czosnyka, M, Steiner, LA, et al. Association between outcome, cerebral pressure reactivity and slow ICP waves following head injury. Acta Neurochir Suppl 2005;95:25–8.Google Scholar
Steiner, LA, Coles, JP, Johnston, AJ, et al. Assessment of cerebrovascular autoregulation in head-injured patients: a validation study. Stroke 2003;34(10):2404–9.Google Scholar
Balestreri, M, Czosnyka, M, Steiner, LA, et al. Intracranial hypertension: what additional information can be derived from ICP waveform after head injury?Acta Neurochir 2004;146(2):131–41.CrossRefGoogle ScholarPubMed
Steiner, LA, Czosnyka, M, Piechnik, SK, et al. Continuous monitoring of cerebrovascular pressure reactivity allows determination of optimal cerebral perfusion pressure in patients with traumatic brain injury. Crit Care Med 2002;30(4):733–8.Google Scholar
Aries, MJ, Czosnyka, M, Budohoski, KP, et al. Continuous determination of optimal cerebral perfusion pressure in traumatic brain injury. Crit Care Med 2012;40(8):2456–63.Google Scholar
Aries, MJ, Wesselink, R, Elting, JW, et al. Enhanced visualization of optimal cerebral perfusion pressure over time to support clinical decision making. Crit Care Med 2016;44(10):e996-9.Google Scholar
Depreitere, B, Guiza, F, Van den Berghe, G, et al. Pressure autoregulation monitoring and cerebral perfusion pressure target recommendation in patients with severe traumatic brain injury based on minute-by-minute monitoring data. J Neurosurg 2014;120(6):1451–7.CrossRefGoogle ScholarPubMed
Donnelly, J, Czosnyka, M, Adams, H, et al. Individualizing thresholds of cerebral perfusion pressure using estimated limits of autoregulation. Crit Care Med 2017;45(9):1464–71.Google Scholar
Bratton, SL, Chestnut, RM, Ghajar, J, et al. Guidelines for the management of severe traumatic brain injury. VI. Indications for intracranial pressure monitoring. J Neurotrauma 2007;24(Suppl 1):S37-44.Google Scholar
Yuan, Q, Wu, X, Sun, Y, et al. Impact of intracranial pressure monitoring on mortality in patients with traumatic brain injury: a systematic review and meta-analysis. J Neurosurg 2015;122(3):574–87.Google Scholar
Chesnut, R, Videtta, W, Vespa, P, et al. Intracranial pressure monitoring: fundamental considerations and rationale for monitoring. Neurocrit Care 2014;21(Suppl 2):S6484.Google Scholar
Farahvar, A, Gerber, LM, Chiu, YL, et al. Increased mortality in patients with severe traumatic brain injury treated without intracranial pressure monitoring. J Neurosurg 2012;117(4):729–34.Google Scholar
Gerber, LM, Chiu, YL, Carney, N, et al. Marked reduction in mortality in patients with severe traumatic brain injury. J Neurosurg 2013;119(6):1583–90.Google Scholar
Talving, P, Karamanos, E, Teixeira, PG, et al. Intracranial pressure monitoring in severe head injury: compliance with Brain Trauma Foundation guidelines and effect on outcomes: a prospective study. J Neurosurg 2013;119(5):1248–54.CrossRefGoogle ScholarPubMed
Brady, KM, Easley, RB, Kibler, K, et al. Positive end-expiratory pressure oscillation facilitates brain vascular reactivity monitoring. J Appl Physiol 2012;113(9):1362–8.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×