Intracranial pressure-monitoring systems in children with traumatic brain injury: combining therapeutic and diagnostic tools.

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
Jennifer ExoMichael J Bell

Abstract

To compare the correlation of intracranial pressure (ICP) measurement and time to detection of ICP crises (defined as ICP ≥ 20 mm Hg for ≥ 5 mins) between an intraparenchymal (IP) monitor and external ventricular drain (EVD) in children for whom continuous cerebrospinal fluid diversion was used as a therapy for severe traumatic brain injury. Academic, pediatric intensive care unit. Retrospective review of a prospectively collected pediatric neurotrauma database. Children with severe traumatic brain injury (Glasgow Coma Scale score of ≤ 8) who underwent ICP monitoring with both IP and EVD techniques were studied. In cohort 1 (n = 58), hourly ICP measurements were extracted from the medical record; in cohort 2 (n = 4), ICP measurements were collected every minute by an automated data-collection system. The mean absolute difference in ICP (|N5ICP|N5) and intraclass correlation coefficients were calculated. Timing to detection of ICP crises was analyzed. Data were expressed as mean ± sem. For cohort 1, 7,387 hrs of data were analyzed; 399 hrs (23,940 mins) were analyzed for cohort 2. In cohort 1, the |N5ICP|N5 was 3.10 ± 0.04 mm Hg (intraclass correlation coefficients = 0.98, p < .001). The |N5ICP|N5 in cohort 2 was 3.30 ± 0.05 mm ...Continue Reading

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Citations

Jan 19, 2013·Current Neurology and Neuroscience Reports·Peter Le Roux
Sep 8, 2011·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Jose A PinedaDavid Limbrick
Jan 22, 2011·Developmental Neuroscience·Patrick M KochanekHülya Bayır
Apr 17, 2012·Paediatric Anaesthesia·Tarun BhallaJoseph D Tobias
Sep 4, 2015·Atlas of the Oral and Maxillofacial Surgery Clinics of North America·Margaret Riordan, Lawrence Chin
Feb 11, 2015·World Neurosurgery·Franco Servadei, Edoardo Picetti
May 15, 2012·The Journal of Pediatrics·Steven L SheinRachel P Berger
Oct 27, 2016·Revista chilena de pediatría·José Ramón García-LiraJose Luis Torres-Escalante
Feb 9, 2016·World Journal of Critical Care Medicine·Shruti Agrawal, Ricardo Garcia Branco
Mar 5, 2019·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Patrick M KochanekMark S Wainwright
Feb 11, 2012·Current Opinion in Critical Care·Mauro OddoGiuseppe Citerio
Dec 18, 2015·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Steven L SheinMichael J Bell
Jul 9, 2016·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Steven L Shein, Michael J Bell
Mar 31, 2016·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Nikki Miller FergusonMichael J Bell
Oct 6, 2016·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Nikki Miller Ferguson, Michael J Bell
Aug 17, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Vidit BhargavaErik Su
Jan 20, 2015·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Sunit SinghiArun Bansal
Oct 20, 2012·Critical Care Medicine·Steven L SheinJennifer Exo

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