Monitoring and interpretation of intracranial pressure | 合法醫療器材資訊網

由MCzosnyka著作·2004·被引用793次—Inthehorizontalposition,thenormalICPinhealthyadultsubjectswasreportedtobewithintherangeof7–15mmHg.Intheverticalpositionitisnegativewitha​ ...

Intracranial pressure (ICP) is derived from cerebral blood and cerebrospinal fluid (CSF) circulatory dynamics and can be affected in the course of many diseases of the central nervous system. Monitoring of ICP requires an invasive transducer, although some attempts have been made to measure it non-invasively. Because of its dynamic nature, instant CSF pressure measurement using the height of a fluid column via lumbar puncture may be misleading. An averaging over 30 minutes should be the minimum, with a period of overnight monitoring in conscious patients providing the optimal standard. Computer-aided recording with online waveform analysis of ICP is very helpful.

Although there is no “Class I” evidence, ICP monitoring is useful, if not essential, in head injury, poor grade subarachnoid haemorrhage, stroke, intracerebral haemat...