Insertion of Intracranial Monitoring Devices

Chapter

Abstract

The main objective of neurointensive monitoring is to maintain adequate cerebral perfusion and oxygenation, and to avoid secondary injury to the penumbra zone while the brain recovers. Cerebral perfusion is reduced, and poorer outcomes are associated with systemic hypotension and intracranial hypertension. Cerebral perfusion pressure (CPP), an indirect measure of cerebral perfusion, incorporates mean arterial blood pressure (MAP) and intracranial pressure (ICP): CPP = MAP − ICP The only way to reliably determine cerebral hypoperfusion is to continuously monitor ICP and blood pressure (Brain Trauma Foundation 2007).

Keywords

Intracranial Hypertension Cerebral Perfusion Pressure Mean Arterial Blood Pressure External Ventricular Drainage Burr Hole 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Bardt TF, Unterberg AW et al (1998) Monitoring of brain tissue PO2 in traumatic brain injury: effect of cerebral hypoxia on outcome. Acta Neurochir Suppl 71:153–156PubMedGoogle Scholar
  2. Brain Trauma Foundation (2007) Guidelines for the management of severe traumatic brain injury, vol 24 (Suppl 1), 3rd edn, Journal of neurotrauma. Mary Ann Liebert, Inc., New YorkGoogle Scholar
  3. Maas A, Stocchetti N et al (2008) Moderate and severe traumatic brain injury in adults. Lancet Neurol 7:728–741PubMedCrossRefGoogle Scholar
  4. Stiefel MF, Spiotta A et al (2005) Reduced mortality rate in patients with severe traumatic brain injury treated with brain tissue oxygen monitoring. J Neurosurg 103:805–811PubMedCrossRefGoogle Scholar
  5. Valadka AB, Gopinath SP et al (1998) Relationship of brain tissue PO2 to outcome after severe head injury. Crit Care Med 26:1576–1581PubMedCrossRefGoogle Scholar
  6. Van den Brink WA, Van Santbrink H et al (2000) Brain oxygen tension in severe head injury. Neurosurgery 46:868–878PubMedGoogle Scholar
  7. Winn RH (2003) Youmans neurological surgery, vol 1, 5th edn. Saunders (Elsevier), Philadelphia, pp 184–185Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Department of NeurosurgeryOulu University HospitalOYSFinland

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