Spinal epidural pressure as a less-invasive monitoring of intracranial pressure: report of two cases of encephalitis

1997 ◽  
Vol 11 (3) ◽  
Author(s):  
Mitsuko Mimura ◽  
Yukihiro Kumeta ◽  
Kouhei Echizenya
2020 ◽  
Vol 12 (1) ◽  
pp. 7-19
Author(s):  
Guerrero Gutiérrez Manuel Alberto ◽  
Pérez Nieto Orlando Rubén ◽  
Eder Iván Zamarrón López ◽  
Jesús Salvador Sánchez Díaz ◽  
Escarramán Martínez Diego ◽  
...  

The hemodynamic monitoring is a fundamental part of the patient in the perioperative period, during the last decade the monitoring at the patient's bedside has grown at giant steps, from the emergency area, operating room, to the Intensive Care area. One of its most important advances is the decrease in the use of pulmonary artery catheter, which is being replaced by ultrasound and less invasive monitoring techniques, in this article we will review from the beginning of the monitoring to the most used less invasive monitors currently.


Stroke ◽  
2020 ◽  
Author(s):  
Silvia Hernández-Durán ◽  
Leonie Meinen ◽  
Veit Rohde ◽  
Christian von der Brelie

Background and Purpose: The role of decompressive hemicraniectomy (DC) in malignant cerebral infarction (MCI) has clearly been established, but little is known about the course of intracranial pressure (ICP) in patients undergoing this surgical measure. In this study, we investigated the role of invasive ICP monitoring in patients after DC for MCI, postulating that postoperative ICP predicts mortality. Methods: In this retrospective observational study of MCI patients undergoing DC, ICP were recorded continuously in hourly intervals for the first 72 hours after DC. For every hour, mean ICP was calculated, pooling ICP of every patient. A receiver operating characteristic analysis was performed for hourly mean ICP. A subgroup analysis by age (≥60 years and <60 years) was also performed. Results: A total of 111 patients were analyzed, with 29% mortality rate in patients <60 years, and 41% in patients ≥60 years. A threshold of 10 mm Hg within the first 72 postoperative hours was a reliable predictor of mortality in MCI, with an acceptable sensitivity of 70% and high specificity of 97%. Established predictors of mortality failed to predict mortality. Conclusions: Our study suggests the need to reevaluate postoperative ICP after DC in MCI and calls for a redefinition of ICP thresholds in these patients to indicate further therapy.


1989 ◽  
Vol 29 (6) ◽  
pp. 484-489 ◽  
Author(s):  
Shodo FUJIOKA ◽  
Motoyuki KAKU ◽  
Jun-ichiro HAMADA ◽  
Akira YOKOTA ◽  
Yukitaka USHIO

Author(s):  
Lilian Regina de Carvalho ◽  
Yolanda Dora Martinez Évora ◽  
Silvia Helena Zem-Mascarenhas

ABSTRACT Objective: to assess the usability of a digital learning technology prototype as a new method for minimally invasive monitoring of intracranial pressure. Method: descriptive study using a quantitative approach on assessing the usability of a prototype based on Nielsen's ten heuristics. Four experts in the area of Human-Computer interaction participated in the study. Results: the evaluation delivered eight violated heuristics and 31 usability problems in the 32 screens of the prototype. Conclusion: the suggestions of the evaluators were critical for developing an intuitive, user-friendly interface and will be included in the final version of the digital learning technology.


Neurology ◽  
1970 ◽  
Vol 20 (8) ◽  
pp. 818-818 ◽  
Author(s):  
M. M. Mittal ◽  
N. C. Gupta ◽  
M. L. Sharma

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