INTRAKRANIJALNI PRITISAK

SAUDIN BAJRIĆ, medicinski tehničar

KLINIKA ZA ANESTEZIOLOGIJU I REANIMATOLOGIJU TUZLA

DEFINICIJA INTRAKRANIJALNOG PRITISKA

Intrakranijalni pritisak važan je način monitoringa zdravlja i ishoda nakon povrede mozga.
Mozak je smješten u nefleksibilni omotač – lobanju. Prema tome, ako postoje promjene koje
povećavaju pritisak, tečnost koja okružuje mozak nema gdje da ode.

Kod odraslih, ovaj pritisak varira od 0 do 10 mmHg. Pritisak preko 20 mmHg smatra se
abnormalnim, a preko 60 mmHg fatalnim po život.

METODE MONITORINGA

 Intraventrikularni kateter

 Intraparenhimalni monitor

 Subarahnoidalni šraf

 Subduralni i epiduralni monitori

 Jugularni venski monitoring

INTRACRANIAL PRESSURE

DEFINITION OF ICP

ICP is a very important way of monitoring the health and outcome of the brain after injury. The
brain is encased in a non-flexible cover - the skull. Therefore, if there are changes which result in
increased pressure, the fluid that surrounds the brain has nowhere to go.

In a healthy adult, the ICP is usually in the range of 0 to 10 mmHg, and any pressure greater than
20 mmHg is abnormal. A pressure above 60 mmHg is fatal.

METHODS OF MONITORING
 * Intra-ventricular catheter;

* Intra-parenchymal monitor;

* Sub-arachnoid bolt (less accurate);

* Subdural and epidural monitors (less accurate);

* Jugular venous monitoring (necessary during chemically induced coma only).

The problem with increased ICP is that the fluid under pressure tends to deform the brain itself
and pushes tissue in such a way as to cause injury to the brain itself. A MRI or CT can often
show the shifting of the tissue because of the pressure. That is a way doctors can tell there is
increased pressure, and they can also directly monitor the pressure through the skull.

STRATEGIES IN DECREASING ICP

*Mannitol

*Coma

*Hypothermia

*Shunt

*Decompressive Craniecotomy

CONCLUSION

Overall, it is essential to take steps to reduce the ICP if it is in the abnormal range. Delays can
result in additional damage.