SICU

ICP monitor

96.3.18

1015mmHg1018cmH2O.
.:
Pressure gradient.
IICPBrain
Perfusion
Herniation.

ICP ;:,

ps.secondary injury:,,

.,
, .;
3H(hypertension, hypervolemia, hemodilution,),
.


z
z
z

/ GCS8 ,
(Dormicrum,Propoful,Barbiturates)

z IICP , :-- EVD

,
Burr hole
:()
z Intraventricular:,
z Subdural:
z
z
z

Subarachnoid:
Intraparenchymal:
Epidural:

,( ICP)

:
fluid-filled system & non-fluid-coupled system

fluid-filled system:
,,;EVD, Subdural drainage.

 Extracranial transducer: A-L

(arterial pressure tube),. fluid-filled
tube(,),
Bolt (),
,:
z

z
z

Intraventricular catheter:.,
foramen of Monro ,(),
3 way ,,
.
Subdural devices:
The subarachnoid screw:,
(cerebral convexity),,
fluid-filled tube + external pressure transducer,
,,,
.

Epidural placement of sensor or fluid-filled tube:,

,,,
,.
fluid-filled system-- Intraventricular catheter+
(A-L)

non-fluid-coupled system:
,,,
fiberoptic (Camino),90
electro-microsensor , Codmon(
),,
,,,.
,
,,

z
z

ICP CSF leakage;, 0~22%.

fluid-coupled system , Irrigation of the system may
lead to infection!!
,
.: ventriculitis, meningitis, brain abscess,
skin infection, skull osteomyelitis.
:--
;

,:
1.
2.

z fluid-filled system
, A-L ,
:
4

1.

/ ICP data;
ICP data,;
,,
(cmH2O),,,
,,
2. Negaton,,
ICP;Bi-PAP,
; 3 way
,EVD.
3. ,

1. Julian R: Intracranial pressure: Neurological Surgery, ed 4,p.505-506

2. Intracrainial pressure monitoring: Neurosurgery,p.185-189,345-353.
3. Mark S.: Handbook of Neurosurgery, ed 4,vol 2,1997,p.706-721.