Monitoring and treatment of intracranial pressure are extremely important procedures in the management of patients with traumatic brain injury. The monitoring methods currently marketed are invasive and are not suitable for all patients. In addition to the risks offered, they are not available on all services. This study aims to describe the cases of five patients with traumatic brain injury of different severity who underwent noninvasive monitoring of intracranial pressure in the acute phase of the injury, relating the changes identified with the clinical picture presented. Patients showed important changes in intracranial pressure wave morphology, possibly related to the lesions, clinical presentation and therapeutic interventions used.
Background: Cerebral edema (CE) and intracranial hypertension (IHT) are complications of numerous neurological pathologies. However, the study of CE and noninvasive methods to predict IHT remains rudimentary. This study aims to identify in traumatic brain injury (TBI) patients the relationship between the volume of the lateral ventricles and the parameters of the noninvasive intracranial pressure waveform (nICPW). Methods: This is an analytical, descriptive, and cross-sectional study with nonsurgical TBI patients. The monitoring of nICPW was performed with a mechanical strain gauge, and the volumetry of the lateral ventricles was calculated using the free 3D Slicer software, both during the acute phase of the injury. The linear model of fixed and random mixed effects with Gamma was used to calculate the influence of nICPW parameters (P2/P1 and time-to-peak [TTP]) values on volumetry. Results: Considering only the fixed effects of the sample, there was P = 0.727 (95% CI [−0.653; 0.364]) for the relationship between P2/P1 and volumetry and 0.727 (95% CI [−1.657; 1.305]) for TTP and volumetry. Considering the fixed and random effects, there was P = 8.5e-10 (95% CI [−0.759; 0.355]) for the relationship between P2/P1 and volumetry and 8.5e-10 (95% CI [−2.001; 0.274]) for TTP and volumetry. Conclusion: The present study with TBI patients found association between nICPW parameters and the volume of the lateral ventricles in the 1st days after injury.
Objetivos: Fornecer conhecimento clínico e científico sobre hipertensão intra-abdominal e síndrome compartimental abdominal, necessário para a tomada de decisão e intervenção. Método: Revisão integrativa realizada em bancos de dados: PubMED; SCIELO; MEDLINE e LILACS. Foram incluídos artigos de março/2013 a julho/2021, excluindo estudos em crianças, modelos animais, artigos secundários, teses e dissertações. Resultados: foram encontrados 142 artigos, dos quais 20 foram selecionados para a amostra final. Os resultados obtidos foram agrupados em quatro classes: conhecimento dos profissionais de saúde sobre pressão intra-abdominal e foco em fatores de risco, diagnóstico e tratamento. Considerações finais: A hipertensão intra-abdominal é significativa na UTI e pode evoluir para síndrome compartimental abdominal. São condições recorrentes e preditores independentes de mortalidade. Seu diagnóstico precoce previne uma série de complicações. Dominar técnicas de diagnóstico e identificar fatores de risco é a chave para otimizar o tratamento dessas patologias.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.