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Intracranial Pressure Monitoring in Children with Severe Traumatic Brain Injury: A Retrospective Study

Sujoy Banik1, Girija P Rath2, Ritesh Lamsal2

  • 1Department of Anesthesia and Perioperative Medicine, London Health Sciences Centre, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.

Journal of Pediatric Neurosciences
|July 19, 2019
PubMed

Insights

Intracranial pressure (ICP) monitoring in children with severe traumatic brain injury (TBI) did not significantly impact outcomes. This study found no difference in mortality, ventilation duration, or hospital stay between monitored and unmonitored pediatric TBI patients.

Area of Science:

  • Pediatric neurocritical care
  • Traumatic Brain Injury (TBI) management
  • Intracranial Pressure (ICP) monitoring

Background:

  • Limited research exists on intracranial pressure (ICP) monitoring in pediatric populations.
  • Severe traumatic brain injury (TBI) in children necessitates effective management strategies.
  • The utility of ICP monitoring in pediatric severe TBI remains under investigation.

Purpose of the Study:

  • To evaluate the effectiveness of ICP monitoring in children diagnosed with severe TBI.
  • To determine if ICP monitoring influences clinical outcomes in pediatric severe TBI cases.

Main Methods:

  • Retrospective review of medical records for children aged 1-12 years with severe TBI.
  • Comparison of outcomes between a group undergoing ICP monitoring and a control group without ICP monitoring.
  • Data collected included demographics, vital signs, CT findings, ICP values, ventilation duration, and hospital stay.

Main Results:

  • No significant differences were observed in mortality rates, cranial surgeries, or discharge outcomes between the ICP monitored and control groups.
  • Median duration of mechanical ventilation (35 vs. 55 days) and hospital stay (36 vs. 58 days) were comparable between groups.
  • Time to tracheostomy also showed no significant difference (6 vs. 5 days).

Conclusions:

  • Intracranial pressure monitoring did not demonstrate a benefit in reducing mortality or improving outcomes for children with severe TBI.
  • ICP monitoring did not lead to decreased duration of mechanical ventilation or hospital stay in this pediatric cohort.
  • The study suggests ICP monitoring may not be beneficial for children with severe TBI based on the evaluated outcomes.
Abstract

Keywords:
Childrenintracranial pressureoutcometraumatic brain injury

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