Monitoring of Intracranial Pressure

Although there are no data from randomized trials, it is generally accepted that monitoring and aggressive treatment of elevated ICP can minimize secondary ischemia and improve outcome. Thus the use of intracranial devices for the continuous measurement of ICP has become standard practice in the care of neurological patients in whom an elevated ICP is an issue. These devices include intraventricular catheters, subarachnoid bolts, epidural systems and fiberoptic intraparenchymal devices. Ventriculostomy catheters and fiberoptic intra-parenchymal devices appear to give comparably accurate measurement of ICP (Fig. 5.2). Ven-triculostomy catheters are generally considered to be the gold standard for ICP monitoring. This type of catheter has the additional advantage of allowing drainage of CSF to lower ICP.

Fiberoptic device (intraparenchymal)

Subarachnoid screw

Epidural transducer

Fiberoptic device (intraparenchymal)

Subarachnoid screw

Epidural transducer

Fig. 5.2. Methods of monitoring intracranial pressure.
Cure Your Yeast Infection For Good

Cure Your Yeast Infection For Good

The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.

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