Postoperative intracranial pressure monitoring

Insertion of an intracranial pressure monitoring device following intracranial surgery is easily accomplished in sterile fashion. Definite indications for intracranial pressure monitoring in postoperative patients include all patients status postevacuation of acute traumatic intradural hematomas or contusions. Constantini §L§L

(19.88). determined that resection of glioblastoma, repeat surgery, and protracted surgery (greater than 6 h) were risk factors for intracranial hypertension following elective surgery. Intracranial pressure monitoring should be employed following elective craniotomies, particularly when risk factors can be identified prior to the end of surgery. Additionally, intracranial pressure monitoring may provide an early indicator of postoperative complications.

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