Highlighting intracranial pressure monitoring in patients with severe acute brain trauma.
Intracranial pressure (ICP) monitoring was carried out in 100 patients with severe acute brain trauma, primarily by means of a subarachnoid catheter. Statistical associations were evaluated between maximum ICP values and: 1) Glasgow Coma Scale (GCS) scores; 2) findings on computed tomography (CT) scans of the head; and 3) mortality. A significant association was found between low GCS scores (3 to 5) and high ICP levels, as well as between focal lesions on CT scans and elevated ICP. Mortality was significantly higher in patients with ICP > 40 mm Hg than in those with ICP < or = 20 mm Hg.
Falcão
A L
AL
Intensive Care Unit, Hospital das Clinicas, Uníversidade Estadual de Campinas (UNICAMP), São Paulo, Brasil.
Dantas Filho
V P
VP
Sardinha
L A
LA
Quagliato
E M
EM
Dragosavac
D
D
Araújo
S
S
Terzi
R G
RG
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D001930:Brain Injuries / Q000175:diagnosis / Q000503:physiopathology*; D002560:Cerebrovascular Circulation; D016009:Chi-Square Distribution; D002648:Child; D003128:Coma / Q000503:physiopathology; D005260:Female; D015600:Glasgow Coma Scale; D006801:Humans; D007427:Intracranial Pressure / Q000502:physiology*; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic; D010101:Oxygen Consumption; D011446:Prospective Studies; D013346:Subarachnoid Space