Intracranial Pressure Monitoring After Elective Surgery: A Study of 514 Consecutive Patients
In this retrospective study we try to resolve the controversy relating to the indications for ICP monitoring after elective intracranial surgery (Johnston and Jennett 1973; Kaye and Brownbill 1981; Langfitt 1976; Nakagawa et al. 1975; Narayan et al. 1982, Takagi et al. 1986). We ask the following questions that pertain to benefits and risks of ICP monitoring: Which are the procedures and subpopulations that are most likely to be associated with raised postoperative ICP? What are the sensitivity and specificity of ICP elevations in detecting clinical deterioration? Which are the changes in patient management following ICP elevations? What is the risk of infection associated with ICP monitoring? Based on answers to these questions we attempt to formulate an optimal policy for ICP monitoring after erective surgery.
KeywordsCatheter Meningitis Mannitol Vancomycin Gentamicin
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