Elevated ICP

ICP monitoring should be considered for coma patients with a non-operative intracranial hemotoma, loss of ventricles and basal cisterns, diffuse brain swelling, multiple injuries, and profound motor deficits.

ICP monitoring with a fluid-filled intraventricular catheter can lead to bleeding and infection. Intraparenchymal monitoring using a fiber-optic transducer may not always correlate with ventricular devices, and therapeutic drainage of cerebrospinal fluid is not feasible. ICP is monitored contralateral to any focal pathology so that measurements obtained reflect pressures in undamaged brain. Subdural, subarachnoid, and epidural devices are even less accurate.

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