Intracranial pressure monitoring in comatose children

Barnaby R. Scholefield, Kevin P. Morris

Research output: Contribution to journalReview articlepeer-review

Abstract

Coma may be associated with raised intracranial pressure (ICP), with a causative relationship in some cases. ICP monitoring provides an objective measurement of intracranial pressure and allows the ICP response to specific interventions to be directly observed. A combination of ICP and invasive arterial pressure monitoring provides a measure of the cerebral perfusion pressure (CPP), which is an important parameter in determining cerebral blood flow. Despite widespread use of ICP monitoring in certain causes of coma, most notably traumatic brain injury, the use of ICP monitoring is not proven to improve outcome in any cause of coma. This review explores the current medical literature regarding the uses of ICP monitoring in the paediatric population.

Original languageEnglish
Pages (from-to)127-133
Number of pages7
JournalPaediatrics and Child Health
Volume19
Issue number3
Early online date27 Feb 2009
DOIs
Publication statusPublished - 1 Mar 2009

Keywords

  • brain injuries
  • cerebrospinal fluid shunts
  • child
  • coma
  • intensive care units
  • intracranial hypertension
  • meningitis
  • paediatric

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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