Highest measurement of the participant's/ subject's intracranial pressure (ICP) in mmHg over the 24-hour period

FITBIR|NIA|PDBP;

2014-04-01

ICP maximum daily measurement

Guidelines for the management of severe traumatic brain injury. VIII. Intracranial pressure thresholds. J Neurotrauma. 2007;24 Suppl 1:S55-8. Vik A, Nag T, Fredriksli OA, et al. Relationship of "dose" of intracranial hypertension to outcome in severe traumatic brain injury. J Neurosurg. Oct 2008;109(4):678-684. Pediatric-specific reference(s): Adelson PD, Bratton SL, Carney, NA, Chesnut RM, du Coudray HE, Goldstein B, Kochanek PM, Miller HC, Partington MD, Selden NR, Warden CR, Wright DW. Guidelines for the acute medical management of severe traumatic brain injury in infants, children, and adolescents. Chapter 6. Threshold for treatment of intracranial hypertension. (2003a). Pediatr Crit Care Med 4:S25-S27.

The suggested range is -10 to 300 mmHg. Recommend collection during acute hospital care. Add date stamp for when assessed. It is recommended to document the highest ICP, zeroing the ICP monitor at the level of the foramen of Monro and to relate all hourly data to date and time of injury, as being the only fixed time event across patients. Monitoring for and treating raised ICP is an important element in the management of patients with severe TBI. Pediatric-specific notes: As a minimum, vital signs should be recorded on admission and further, on a daily basis during the acute phase after injury. For the Core datasets, we recommend recording the average and lowest blood pressure over a given period. In the ICU environment, recording blood pressure on an hourly basis is recommended, especially when intracranial pressure (ICP) is monitored in order to permit determination of CPP, calculated as mean arterial blood pressure (MABP) - ICP (intermediate data set). For valid comparison of results between patients and across studies, a common approach towards zeroing the ICP monitor should be agreed