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Monitoring the Nervous System for Anesthesiologists and Other Health Care Professionals pp 243–252Cite as

Intracranial Pressure Monitoring

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Abstract

Intracranial pressure (ICP) monitoring is widely used in critically ill patients after traumatic brain injury (TBI) and with other mass-occupying lesions that disturb the balance of pressure and volume in the intracranial vault. The primary goal of continuous ICP monitoring is guiding clinical management toward normal ICP, one of the determinants of cerebral perfusion pressure (CPP). Intracranial hypertension will alter cerebral perfusion and can result in secondary brain injury, poor neurologic outcome, and death. Several types of ICP monitors exist with different risks and benefits. Interpretation of the ICP waveform can provide information about the mean ICP, intracranial compliance, and autoregulatory capacity. ICP monitoring may be best used as one component of multimodal monitoring of cerebral perfusion in patients with brain injury.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology and Perioperative Medicine, Oregon Health and Science University Hospital, 3181 SW Sam Jackson Park Road, Portland, OR, 97239, USA

    Ross Martini M.D.

  2. Oregon Anesthesiology Group, Anesthesiology, Critical Care Medicine—Anesthesia, 3181 SW Sam Jackson Park Rd, Portland, OR, 97239, USA

    Andrea Orfanakis M.D.

  3. Department of Anesthesiology and Perioperative Medicine, Oregon Health and Science University, Portland, OR, USA

    Ansgar Brambrink M.D.

  4. Department of Anesthesiology, Columbia University College of Physicians & Surgeons, 630 West 168th Street, New York, NY, 10032, USA

    Ansgar Brambrink M.D.

Authors
  1. Ross Martini M.D.
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  2. Andrea Orfanakis M.D.
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  3. Ansgar Brambrink M.D.
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Corresponding author

Correspondence to Ross Martini M.D. .

Editor information

Editors and Affiliations

  1. Departments of Anesthesiology, Neurological Surgery and Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA

    Antoun Koht

  2. Department of Anesthesiology, University of Colorado School of Medicine, Aurora, Colorado, USA

    Tod B. Sloan

  3. Department of Anesthesiology, Rush University Medical Center, Chicago, Illinois, USA

    J. Richard Toleikis

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Martini, R., Orfanakis, A., Brambrink, A. (2017). Intracranial Pressure Monitoring. In: Koht, A., Sloan, T., Toleikis, J. (eds) Monitoring the Nervous System for Anesthesiologists and Other Health Care Professionals. Springer, Cham. https://doi.org/10.1007/978-3-319-46542-5_15

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  • DOI: https://doi.org/10.1007/978-3-319-46542-5_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-46540-1

  • Online ISBN: 978-3-319-46542-5

  • eBook Packages: MedicineMedicine (R0)

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