Associations between intracranial pressure thresholds and multimodal monitoring in acute traumatic neural injury: a scoping review.
Kevin Y SteinFiorella AmentaAlwyn GomezLogan FroeseAmanjyot Singh SainbhiNuray VakitbilirIzabella MarquezFrederick Adam ZeilerPublished in: Acta neurochirurgica (2023)
There is currently little literature that presents objective statistical associations between ICP thresholds and multimodal monitoring physiology. However, overall, the literature indicates that having ICP above guideline based thresholds is associated with increased blood pressure, increased cardiac decoupling, reduced parenchymal brain oxygen tension, and impaired cerebral autoregulation, with no association with CBF velocity within the therapeutic range of ICP. There was insufficient literature to comment on other multimodal monitoring measures.
Keyphrases
- systematic review
- blood pressure
- pain management
- liver failure
- spinal cord injury
- left ventricular
- drug induced
- subarachnoid hemorrhage
- type diabetes
- multiple sclerosis
- adipose tissue
- hepatitis b virus
- intensive care unit
- cerebral ischemia
- heart failure
- acute respiratory distress syndrome
- hypertensive patients
- blood flow
- respiratory failure