Intracranial pressure monitoring by subarachnoid bolt in comatose children

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Published on: October 2, 2014

E Nussbaum, J C Maggi

    Clinical Pediatrics
    |June 1, 1985
    PubMed

    Insights

    Subarachnoid bolt placement for intracranial pressure (ICP) monitoring in 124 children was safe. This method showed no complications like hematoma or infection, supporting its use in pediatric neurocritical care.

    Area of Science:

    • Neurosurgery
    • Pediatric Critical Care
    • Neurology

    Background:

    • Intracranial pressure (ICP) monitoring is crucial for managing comatose children with brain injuries.
    • Traditional monitoring methods may carry risks or be technically challenging.
    • Evaluating the safety of alternative ICP monitoring techniques is essential.

    Purpose of the Study:

    • To assess the safety and complication rate of subarachnoid bolt placement for ICP monitoring.
    • To evaluate the efficacy of this method in a pediatric population with diverse cerebral lesions.

    Main Methods:

    • A retrospective study involving 124 comatose children with cerebral lesions.
    • ICP monitoring was performed using the subarachnoid bolt technique.
    • Data collected included patient demographics, lesion type, and adverse events.

    Main Results:

    • No instances of cerebral hematoma, diffuse bleeding, or new epileptical focus were observed.
    • No local or systemic infections related to the monitoring device occurred.
    • The subarachnoid bolt was found to be a simple and safe ICP monitoring modality in this cohort.

    Conclusions:

    • Subarachnoid bolt ICP monitoring is a safe and effective technique in comatose children.
    • This method offers a low complication profile for pediatric neurocritical care.
    • The subarachnoid bolt is recommended for ICP monitoring due to its simplicity and safety.

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