پاورپوینت نظارت بر ICP در پزشکی ( به زبان انگلیسی )

History

In the 1960, Lundberg began advocating the use of continually monitoring ICP as an early indicator of neurologic deterioration due to secondary injury
He used a fluid-filled ventricular catheter connected to a reusable external strain-gauge transducer to measure the intracranial pressure
Since then, a fluid-filled ventricular catheter connected to an external transducer has become the gold standard for monitoring devices
Mortality rates have decreased in the past decades from the 41% to 45% preguidelines (keeping ICP <20 to 25) to between 5% to 27% postguidelines
As mortality rates have dropped there has also been a significant shift in the number of patients with moderate/good outcomes
Patients with severe disabilities have decreased from 25% to 39% preguidelines to 14% to 25% postguidelines
Good outcomes have increased from 27% to 43% preguidelines to 61% to 79% postguidelines
Patients are not only surviving but are also going home capable to care for themselves
Despite the evidence that ICP guided therapy improves outcome, studies have shown that, in the United States, ICP monitoring is utilized in less than 50% of patients for whom it is indicated
In some centers. the solution to the issue of lack of neurosurgeon time and manpower constraints is to have ICP monitors placed by non-neurosurgeons