PMID: 8986159Jan 1, 1997Paper

Risk factors of intracranial pressure monitoring in children with fiberoptic devices: a critical review

Surgical Neurology
R L JensenE Ciro

Abstract

Intracranial pressure (ICP) monitoring has become standard in the management of severe head injuries. A variety of monitoring techniques and devices are available, each with advantages and disadvantages; however there have been few studies in the pediatric population. To study the risk factors, efficacy, and complication rate of fiberoptic ICP monitoring we studied 98 consecutive children with severe head injuries over a 2-year period. The average patient age was 9 years and most had an initial Childrens Coma Score (CCS) of 8 or less. The monitoring devices were placed in frontal parenchyma of all children and no prophylactic antibiotics were used. All fiberoptic catheter tips were cultured upon removal. The average duration of ICP monitoring was 7 days; the usual range was 3-15 days, with the exception of one patient who underwent monitoring for 40 days. No complications occurred during insertion of the ICP monitors. Catheter tip cultures were positive for Staphylococcus epidermidis in 7% of the children, but none developed clinical features of CNS infection. The hospital location of placement or duration of ICP monitoring did not affect the rate of catheter tips with positive cultures. There was a 13% mechanical failure rate ...Continue Reading

References

Oct 1, 1977·Journal of Neurosurgery·J D MillerM J Rosner
Nov 1, 1992·Neurosurgery·G GambardellaF Tomasello
Jan 1, 1991·Annals of Emergency Medicine·D E Heiselman
Mar 1, 1990·Journal of Neurosurgery·J S CrutchfieldL H Michael
Nov 1, 1989·Journal of Neurosurgery·C S RobertsonA M Sherwood
Jul 1, 1989·Neurosurgery·W C ClarkC B Watridge
Aug 1, 1987·Journal of Neurosurgery·R C OstrupM H Zornow
Jun 1, 1986·Neurosurgery·B North, P Reilly
Oct 1, 1985·Critical Care Medicine·R K KanterL K Robson
Jun 1, 1984·Journal of Neurosurgery·F IannottiG P Schielke
Dec 1, 1981·Neurosurgery·J M Dean, J G McComb
Nov 1, 1993·Neurosurgery·K R ChambersA D Mendelow

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Citations

Nov 10, 2011·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Lissa C BairdHal S Meltzer
Mar 9, 2006·Current Neurology and Neuroscience Reports·Steven Weinstein
Oct 14, 2005·Current Treatment Options in Neurology·Patrick M Kochanek
Jan 17, 2003·Critical Care Medicine·Catherine A Mazzola, P David Adelson
Sep 9, 2005·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Ann-Christine Duhaime
Dec 31, 2004·The Journal of Trauma·James W DavisJohn F Bilello
Apr 23, 2009·Critical Care Medicine·Eileen Maloney-WilenskyPeter D LeRoux
Feb 5, 2014·Acta neurochirurgica·Sebastian AntesJoachim Oertel
May 5, 2005·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·G TamburriniC Di Rocco
Mar 19, 2008·British Journal of Neurosurgery·D HorínekM Tichý
Dec 17, 2008·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·A BekarE Korfali
Jul 23, 2003·Neurological Research·Jun ZhongFernando G Diaz
Jul 4, 2015·Journal of Neurosurgery. Pediatrics·Nicole F O'BrienKarin Reuter-Rice
Jan 27, 2012·Neurologia Medico-chirurgica·Minoru ShigemoriUNKNOWN Guidelines Committee on the Management of Severe Head Injury, Japan Society of Neurotraumatology
Sep 15, 2017·Journal of Pediatric Neurosciences·Melissa LoPrestiSandi Lam
Jan 6, 2018·Journal of Neurosurgery. Pediatrics·Ruichong MaSteven Wall
Dec 24, 2005·Acta neurochirurgica·M Gelabert-GonzálezR M Rumbo
Nov 5, 2005·AACN Clinical Issues·Karen March
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
Apr 16, 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·Tellen D BennettDaniel D Matlock

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