Intracranial pressure (ICP) monitoring in diffuse brain injury: to do or not to do?
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We read with great interest the article in your journal by Vora et al. regarding the role of intracranial pressure (ICP) monitoring in diffuse brain injury titled “Intracranial pressure monitoring in diffuse brain injury-why the developing world needs it more?” .
We commend the authors for evaluating the role of ICP monitoring in long-term outcomes of patients with diffuse brain injury. It was indeed interesting to note that they found statistically significant improvement in the extended Glasgow outcome scale (GOS-E) at 1 month in the ICP monitoring group. Moreover, a better 2 weeks and 6 months mortality rates in the ICP-monitored group were observed, though it was not statistically significant.
Need for brain-specific treatment and number of CT scans required were assessed as a secondary outcome according to the authors in this study. However, in the non ICP monitoring group, the authors...
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Randomized evaluation of surgery with craniectomy for uncontrollable elevation of intracranial pressure
Decompressive craniectomy trial
Traumatic brain injury
Compliance with ethical standards
Conflict of interest
On behalf of all the contributors, the corresponding author states that there is no conflict of interest.