Neurotrauma and Intracranial Pressure Management

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.

Keywords: Autoregulation; Cerebral oxygenation; Cerebral perfusion pressure; Intracranial pressure; Lund therapy; Multimodality monitoring; Optimization of care; Traumatic brain injury.