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Management of raised intracranial pressure in children with traumatic brain injury

Vinay Kukreti1, Hadi Mohseni-Bod2, James Drake3

  • 1Department of Neurocritical Care, Children's National Medical Center, Washington, D.C., USA.

Journal of Pediatric Neurosciences
|January 28, 2015
PubMed

Insights

Intracranial pressure (ICP) monitoring is crucial for managing severe traumatic brain injury (TBI) in children. This review examines recent evidence on ICP monitoring and its role in improving outcomes for pediatric TBI patients.

Area of Science:

  • Pediatric Traumatology
  • Neurocritical Care
  • Neurological Surgery

Background:

  • Elevated intracranial pressure (ICP) significantly worsens outcomes following traumatic brain injury (TBI).
  • Current management focuses on maintaining cerebral perfusion pressure and reducing ICP.
  • ICP monitoring remains a critical tool, especially in severe pediatric TBI.

Purpose of the Study:

  • To review recent evidence on the utility of ICP monitoring in pediatric TBI.
  • To discuss current strategies for managing elevated ICP in pediatric TBI.

Main Methods:

  • Narrative review of recent literature.
  • Analysis of evidence regarding ICP monitoring and management in pediatric TBI.

Main Results:

  • ICP monitoring is accepted as a standard of care in developed countries for severe TBI.
  • Evidence supports the use of ICP monitoring to guide treatment decisions.
  • Management strategies aim to optimize cerebral perfusion and reduce ICP.

Conclusions:

  • ICP monitoring is vital for guiding treatment in pediatric TBI.
  • Effective ICP management is essential for improving patient outcomes.
  • Continued research and adherence to guidelines are necessary for optimal care.

Keywords:
Craniectomyintracranial pressuretraumatic brain injury

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