[Relation of continuous ICP, CPP monitoring with prognosis for severe brain injury]

Abstract

We analysed the treatment results of two groups of patients. Group I included 50 patients with severe brain injury with GCS 3-8, on whom continuous intracranial pressure (ICP) and cerebral perfusion pressure (CPP) monitoring was performed and Group II included 50 cases of similar patients, on whom no continuous ICP monitoring was performed. In Group I 8 patients had normal ICP (< 2.0 kPa), CPP (> 9.33 kpa), and the rest 42 had increased, ICP and reduced CPP. After adequate intervention including operation and drug treatment, group I patients had good results with a mortality of 14%. Group II patients received the same intervention based on clinical observations, but they had relatively worse results. We are of the opinion that continuous ICP and CPP monitoring for severe brain injury patients helps find proper treatments and reduce mortality.