THE VALUE OF TELEMETRIC INTRACRANIAL PRESSURE MONITORING IN SEVERE BRAIN TRAUMA PATIENTS

  • Nina STRATICIUC “Professor Dr. N. Oblu” Clinical Emergency Hospital Iasi
  • Loredana Mariana CURECHERIU “Professor Dr. N. Oblu” Clinical Emergency Hospital Iasi
  • B.F. ILIESCU “Professor Dr. N. Oblu” Clinical Emergency Hospital Iasi
  • I. POEATA “Professor Dr. N. Oblu” Clinical Emergency Hospital Iasi

Abstract

Severe traumatic brain injury (TBI), the “silent epidemic” is a public health concern as it contributes the most to death and disability globally among all trauma-related injuries. Brain Trauma Foundation (BTF) released in 2020 the Seattle International Sever Traumatic Brain Injury Consensus Conference (SIBICC) that consist of high-quality evidence reports and three distinct treatment protocols for the management of severe TBI (sTBI). Intracranial pressure (ICP) monitoring is valuable for neurocritical care and patient outcome. The purpose of this study was to assess the outcome of 19 patients with ICP and analyze the benefits of telemetric intracranial pressure monitoring. Traumatic brain injury patients admitted to our hospital that underwent ICP monitoring with Neurovent-P-tel, an improved way of monitoring ICP and proving neurocritical care. Analyzed variables were demographics, mechanism of injury, Glasgow Coma Scale (GCS), head injury specifics, ICP measures and days of ICP monitoring. Material and methods: We included in the study 19 patients from our NICU (neurointesive care unit) (15 males and 4 females). Median age was 42 (75-15) years and mean days of telemetric monitoring 2 (1-8). The majority of the patients were involved in motor vehicle accidents (12), but other causes were included (4 falls, 1 assault, 1 epilepsy related, 1 unknown). Results: The 19 implanted telemetric sensors functioned well during the NICU admission with no documented complications. We found that ICP telemetric monitoring had benefits to the patient outcomes. Conclusions: In our experience, telemetric ICP monitoring is safe to use in a traumatic neurosurgical event. Larger studies need to be made in order for this method to be used as standard care.

Author Biographies

Nina STRATICIUC, “Professor Dr. N. Oblu” Clinical Emergency Hospital Iasi

Department of Neurosurgery
“Grigore T. Popa” University of Medicine and Pharmacy Iasi
Faculty of Medicine
Ph.D. Student

Loredana Mariana CURECHERIU, “Professor Dr. N. Oblu” Clinical Emergency Hospital Iasi

Department of Neurosurgery

B.F. ILIESCU, “Professor Dr. N. Oblu” Clinical Emergency Hospital Iasi

Department of Neurosurgery
“Grigore T. Popa” University of Medicine and Pharmacy Iasi
Faculty of Medicine
Department of Surgery (II)

I. POEATA, “Professor Dr. N. Oblu” Clinical Emergency Hospital Iasi

Department of Neurosurgery
“Grigore T. Popa” University of Medicine and Pharmacy Iasi
Faculty of Medicine
Department of Surgery (II)

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Published
2020-12-23