[Does intracranial pressure monitoring improve outcome after severe traumatic brain injury?].
Raised intracranial pressure (ICP) is frequent and associated with poor outcome after severe traumatic brain injury (TBI). Information obtained by ICP monitoring allows early detection of high ICP and goal-directed therapy. There is a large body of clinical evidence showing that protocol driven neurocritical care improves outcomes after TBI. A monitoring method cannot be separated from therapeutic implications, which may have beneficial or deleterious consequences. ICP monitoring and guided therapy are not risk-free. A rational use of ICP as a guide to therapy must take into account of the absolute threshold for treatment, but also of the risk/benefit balance of the used intervention.
Geeraerts
T
T
Département d'anesthésie-réanimation, hôpital Antoine-Béclère, 157 rue de la Porte-de-Trivaux, Clamart cedex, France.
Menon
D K
DK
D001930:Brain Injuries / Q000150:complications / Q000503:physiopathology*; D006801:Humans; D015601:Injury Severity Score; D007427:Intracranial Pressure; D008991:Monitoring, Physiologic