ANALYSIS OF INTRACRANIAL-PRESSURE

被引:38
作者
DOYLE, J
MARK, PWS
机构
[1] Department of Anaesthesia, Toronto General Hospital, Toronto, M5G 2C4, Ontario
来源
JOURNAL OF CLINICAL MONITORING | 1992年 / 8卷 / 01期
关键词
CEREBROSPINAL FLUID; PRESSURE; BRAIN; INTRACRANIAL PRESSURE; MONITORING; EQUIPMENT; COMPUTERS; MEASUREMENT TECHNIQUES; COMPUTER;
D O I
10.1007/BF01618093
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Methods for the acquisition and analysis of intracranial pressure (ICP) signals are reviewed from clinical and technical perspectives. The clinical importance of ICP monitoring is presented, and methods for ICP transduction are briefly discussed. These methods include intraventricular catheters, subarachnoid screws, epidural techniques, and the new fiberoptic ICP measurement systems. Approaches to the visual analysis of the ICP waveform are presented, with special emphasis on the relationship between the ICP waveform and the arterial blood pressure signal. Methods of computer-based ICP analysis are also reviewed, including histogram and "systems analysis" methods. Methods to predict ICP pressure rises and to estimate intracranial compliance are also discussed. Finally, ICP monitoring is reviewed from the point of view of patient outcome. It is concluded that advanced ICP waveform analysis methods warrant further clinical evaluation to demonstrate their clinical usefulness.
引用
收藏
页码:81 / 90
页数:10
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