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ICP-based decision-making in pediatric neurosurgery

Llewellyn Padayachy1, Martin Schuhmann2

  • 1Department of Neurosurgery, School of Medicine, Faculty of Health Sciences, University of Pretoria, Steve Biko Academic Hospital, Pretoria, South Africa. LC.Padayachy@up.ac.za.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|August 9, 2019
PubMed

Insights

Pediatric neurosurgery decision-making relies on intracranial pressure (ICP) assessment. This review covers standard and novel ICP measurement techniques, highlighting their pros and cons for various injuries.

Area of Science:

  • Neurosurgery
  • Medical Technology
  • Pediatrics

Background:

  • Intracranial pressure (ICP) monitoring is crucial in pediatric neurosurgery.
  • Choosing the right ICP measurement method depends on injury severity and disease.
  • Both invasive and non-invasive techniques have specific applications, benefits, and drawbacks.

Purpose of the Study:

  • To provide a comprehensive overview of current intracranial pressure measurement techniques in pediatric neurosurgery.
  • To discuss the indications, advantages, and limitations of various ICP monitoring methods.
  • To highlight innovative and emerging technologies in the field.

Main Methods:

  • Review of existing literature on invasive and non-invasive ICP measurement techniques.
  • Analysis of the applicability of different methods based on clinical scenarios.
  • Discussion of novel approaches and future directions in ICP monitoring.

Main Results:

  • Established invasive methods (e.g., ventricular catheters) offer direct ICP readings but carry risks.
  • Non-invasive methods (e.g., optic nerve sheath diameter, transcranial Doppler) provide indirect estimates with varying accuracy.
  • Emerging technologies show promise for more accurate and less invasive ICP assessment.

Conclusions:

  • The selection of ICP measurement technique requires careful consideration of clinical context and patient factors.
  • A balance between accuracy, invasiveness, and practicality is essential for effective ICP management.
  • Continued innovation is needed to improve ICP monitoring in pediatric neurosurgery.

Keywords:
Intracranial pressureNon-invasive techniquesUltrasound

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