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Updated: Jun 16, 2026

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury

Published on: March 26, 2019

Neurointensive care.

J K Ralph¹, T Lowes

¹16 Close Medical Regiment, Merville Barracks, Colchester Essex. jamesralph4@hotmail.com

Journal of the Royal Army Medical Corps

|January 26, 2010

Summary

This summary is machine-generated.

Military Intensive Care units primarily treat Traumatic Brain Injury (TBI). Management focuses on preventing secondary brain injury, but a key dilemma involves measuring Intracranial Pressure in deployed settings.

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Last Updated: Jun 16, 2026

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury

Published on: March 26, 2019

Area of Science:

Neurology
Military Medicine
Intensive Care

Background:

Traumatic Brain Injury (TBI) is a leading cause of neurological admissions in military Intensive Care.
TBI can be penetrating (fragmentation, missiles) or blunt (blast, impact).
Secondary brain injury prevention (hypoxia, hypotension, low CPP) is critical.

Purpose of the Study:

To address the dilemma of Intracranial Pressure (ICP) monitoring in severe TBI patients within deployed military settings.
To evaluate the feasibility and necessity of ICP measurement in austere environments.

Main Methods:

Review of current Intensive Care management protocols for TBI.
Analysis of evidence-based guidelines from the Brain Trauma Foundation.
Discussion of the challenges and considerations for ICP monitoring in deployed scenarios.

Main Results:

Current TBI management in Intensive Care emphasizes preventing secondary insults.
Evidence-based guidelines support ICP monitoring for severe TBI.
Significant challenges exist in implementing ICP monitoring in deployed military settings.

Conclusions:

The optimal approach to Intracranial Pressure monitoring for severe TBI in deployed military settings remains a critical question for UK military intensivists.
Further evaluation is needed to determine the most appropriate ICP measurement techniques for austere environments.