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Rivista di Anestesia, Rianimazione, Terapia Antalgica e Terapia Intensiva
Minerva Anestesiologica 2008 Maggio;74(5):197-203
Intracranial pressure monitoring for traumatic brain injury: available evidence and clinical implications
Stocchetti N., Longhi L., Zanier E. R.
Department of Anesthesia and Critical Care Medicine, University of Milan and Neuroscience ICU, Maggiore Policlinico IRCCS Hospital Milan, Italy
Following traumatic brain injury, uncontrollable intracranial hypertension remains the most frequent cause of death. Despite general agreement on the deleterious effects of elevated intracranial pressure (ICP), however, the evidence supporting the use of ICP monitoring has recently been questioned. The aim of this review was to evaluate the pros and cons of ICP monitoring and to discuss the hypothetical desirability and feasibility of a trial testing the benefits of ICP monitoring.