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Updated: Aug 23, 2025

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury
Published on: March 26, 2019
Neurotrauma and Intracranial Pressure Management
1Critical Care, Department of Medicine, Hôpital du Sacré-Cœur de Montréal, University of Montréal, 5400 Boulevard Gouin Ouest, Montréal, Québec H4J 1C5, Canada.
Abstract:
Although intracranial pressure (ICP) monitoring has been the mainstay of traumatic brain injury (TBI) management for decades, new understanding of TBI physiopathology calls for paradigm shifts. The complexity of TBI management precludes ICP being taken as an isolated value with a specific threshold. Multimodality monitoring is crucial to expanding our comprehension of individualized pathophysiology, allowing for a precise and tailored treatment approach. This article will review keys concepts to interpret and apply published ICP management guidelines and statements.

