Intracranial Pressure Monitoring: Invasive versus Non-Invasive Methods—A Review
Monitoring of intracranial pressure (ICP) has been used for decades in the fields of neurosurgery and neurology. There are multiple techniques: invasive as well as noninvasive. This paper aims to provide an overview of the advantages and disadvantages of the most common and well-known methods as wel...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Critical Care Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2012/950393 |
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| author | P. H. Raboel J. Bartek M. Andresen B. M. Bellander B. Romner |
| author_facet | P. H. Raboel J. Bartek M. Andresen B. M. Bellander B. Romner |
| author_sort | P. H. Raboel |
| collection | DOAJ |
| description | Monitoring of intracranial pressure (ICP) has been used for decades in the fields of neurosurgery and neurology. There are multiple techniques: invasive as well as noninvasive. This paper aims to provide an overview of the advantages and disadvantages of the most common and well-known methods as well as assess whether noninvasive techniques (transcranial Doppler, tympanic membrane displacement, optic nerve sheath diameter, CT scan/MRI and fundoscopy) can be used as reliable alternatives to the invasive techniques (ventriculostomy and microtransducers). Ventriculostomy is considered the gold standard in terms of accurate measurement of pressure, although microtransducers generally are just as accurate. Both invasive techniques are associated with a minor risk of complications such as hemorrhage and infection. Furthermore, zero drift is a problem with selected microtransducers. The non-invasive techniques are without the invasive methods' risk of complication, but fail to measure ICP accurately enough to be used as routine alternatives to invasive measurement. We conclude that invasive measurement is currently the only option for accurate measurement of ICP. |
| format | Article |
| id | doaj-art-d19ed7a33299471c974eab976d3a5008 |
| institution | Kabale University |
| issn | 2090-1305 2090-1313 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Critical Care Research and Practice |
| spelling | doaj-art-d19ed7a33299471c974eab976d3a50082025-02-03T06:00:02ZengWileyCritical Care Research and Practice2090-13052090-13132012-01-01201210.1155/2012/950393950393Intracranial Pressure Monitoring: Invasive versus Non-Invasive Methods—A ReviewP. H. Raboel0J. Bartek1M. Andresen2B. M. Bellander3B. Romner4Department of Neurosurgery, Copenhagen University Hospital Rigshospitalet, DK-2100, Copenhagen, DenmarkDepartment of Neurosurgery, Copenhagen University Hospital Rigshospitalet, DK-2100, Copenhagen, DenmarkDepartment of Neurosurgery, Copenhagen University Hospital Rigshospitalet, DK-2100, Copenhagen, DenmarkDepartment of Neurosurgery, Karolinska University Hospital, SE-17176, Stockholm, SwedenDepartment of Neurosurgery, Copenhagen University Hospital Rigshospitalet, DK-2100, Copenhagen, DenmarkMonitoring of intracranial pressure (ICP) has been used for decades in the fields of neurosurgery and neurology. There are multiple techniques: invasive as well as noninvasive. This paper aims to provide an overview of the advantages and disadvantages of the most common and well-known methods as well as assess whether noninvasive techniques (transcranial Doppler, tympanic membrane displacement, optic nerve sheath diameter, CT scan/MRI and fundoscopy) can be used as reliable alternatives to the invasive techniques (ventriculostomy and microtransducers). Ventriculostomy is considered the gold standard in terms of accurate measurement of pressure, although microtransducers generally are just as accurate. Both invasive techniques are associated with a minor risk of complications such as hemorrhage and infection. Furthermore, zero drift is a problem with selected microtransducers. The non-invasive techniques are without the invasive methods' risk of complication, but fail to measure ICP accurately enough to be used as routine alternatives to invasive measurement. We conclude that invasive measurement is currently the only option for accurate measurement of ICP.http://dx.doi.org/10.1155/2012/950393 |
| spellingShingle | P. H. Raboel J. Bartek M. Andresen B. M. Bellander B. Romner Intracranial Pressure Monitoring: Invasive versus Non-Invasive Methods—A Review Critical Care Research and Practice |
| title | Intracranial Pressure Monitoring: Invasive versus Non-Invasive Methods—A Review |
| title_full | Intracranial Pressure Monitoring: Invasive versus Non-Invasive Methods—A Review |
| title_fullStr | Intracranial Pressure Monitoring: Invasive versus Non-Invasive Methods—A Review |
| title_full_unstemmed | Intracranial Pressure Monitoring: Invasive versus Non-Invasive Methods—A Review |
| title_short | Intracranial Pressure Monitoring: Invasive versus Non-Invasive Methods—A Review |
| title_sort | intracranial pressure monitoring invasive versus non invasive methods a review |
| url | http://dx.doi.org/10.1155/2012/950393 |
| work_keys_str_mv | AT phraboel intracranialpressuremonitoringinvasiveversusnoninvasivemethodsareview AT jbartek intracranialpressuremonitoringinvasiveversusnoninvasivemethodsareview AT mandresen intracranialpressuremonitoringinvasiveversusnoninvasivemethodsareview AT bmbellander intracranialpressuremonitoringinvasiveversusnoninvasivemethodsareview AT bromner intracranialpressuremonitoringinvasiveversusnoninvasivemethodsareview |