Professional Documents
Culture Documents
Icpmonitoringseminar 141217083607 Conversion Gate01
Icpmonitoringseminar 141217083607 Conversion Gate01
Measurement
and
Waveform Interpretation
Based on location:
1. Intraventricular
2. Intraparenchymal
3. Epidural
4. Subdural
5. Subarachnoid
Non Invasive:
Strain Gauge
Fiberoptic Device
Pneumatic Sensor
Optimal Location of Sensor
Intercompartmental pressure gradients
TCD
Based on Gosling/Pulsatility Index
PI= (FVpeak sys - FVend dia)/(FVmean)
Bellner et al – ICP = (10.972 x PI) - 1.284
2 Depth TCD
A. Ragauskas, DSc, et al
Neurology 78 May 22, 2012
Optic Nerve Sheath Diameter
Chen et al (2011)
Surg Neurol Int. 2011; 2: 82.
EEG for ICP Estimation
Median Frequency
Level II:
Intracranial pressure (ICP) should be monitored in all salvageable
patients with a severe TBI and an abnormal computed
tomography (CT) scan. An abnormal CT scan of the head is
one that reveals hematomas, contusions, swelling, herniation,
or compressed basal cisterns.
Level III:
ICP monitoring is indicated in patients with severe TBI with a
normal CT scan if two or more of the following features are
noted at admission: age over 40 years, unilateral or bilateral
motor posturing, or SBP < 90 mm Hg.
BTF Guidelines – What to use?