Title Is non-invasive monitoring of intracranial pressure waveform analysis possible? Preliminary results of a comparative study of non-invasive vs. invasive intracranial slow-wave waveform analysis monitoring in patients with traumatic brain injury /
Authors Fountas, Kostas N ; Šitkauskas, Artūras ; Feltes, Carlos H ; Kapsalaki, Eftychia Z ; Dimopoulos, Vassilios G ; Kassam, Mozaffar ; Grigorian, Arthur A ; Robinson, Joe Sam ; Ragauskas, Arminas
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Is Part of Medical science monitor.. Albertson : International Scientific Literature. 2005, vol. 11, iss. 2, art. no. 14157, p. 58-63.. eISSN 1643-3750
Abstract [eng] Background: An increasing body of evidence supports the concept that intracranial pressure (ICP) slow B waves represent the auto-regulatory response of spontaneous fluctuations of cerebral perfusion pressure. A relationship between cerebral auto-regulation and clinical outcome in patients with traumatic brain injury has also been established. The objective of our prospective clinical study was to compare the B slow ICP waves obtained invasively by standard ICP monitoring to those obtained noninvasively using a new ultrasound technology. Material/Methods: In the participating institutions, over a period of six months, thirteen consecutive patients (8 males and 5 females) with severe closed bead injuries (GCS <8) were included in our IRB-approved study. Intracranial pressure and B slow waves, as well as arterial blood pressure and waveforms, were evaluated by standard invasive techniques. Additionally, a new non-invasive ultrasound device, Vittamed (Telematics Scientific Laboratory, Kaunas, Lithuania), was employed for monitoring intracranial blood volume slow waves. Using these modalities, it was possible to compare the changes that occurred with invasive monitoring (Correlation factor RI) and the changes that occurred using noninvasive technology (Correlation factor RN). [...].
Published Albertson : International Scientific Literature
Type Journal article
Language English
Publication date 2005