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Noninvasive intracranial pressure estimation with transcranial doppler: A prospective observational study

Journal of Neurosurgical Anesthesiology Sep 15, 2020

Cardim D, Robba C, Czosnyka M, et al. - Researchers undertook this prospective observational study to examine the link between standard, invasive intracranial pressure monitoring (ICPi) and noninvasive intracranial pressure (ICP) evaluation applying a simple formula based on transcranial Doppler (TCD)-derived flow velocity (FV) and mean arterial blood pressure values (ICPTCD). Participants included 100 consecutive traumatic brain injury patients needing invasive ICP monitoring. No correlation was found between ICPi and ICPTCD. Wide 95% limits of agreement between ICPi and ICPTCD were shown by Bland-Altman analysis. Experts concluded that TCD represents an insufficiently accurate method for the noninvasive evaluation of ICP, applying a formula based on diastolic FV.

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