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Intracranial Pressure Monitoring in Severe Traumatic Brain Injury – Results of a Canadian Survey

Published online by Cambridge University Press:  04 August 2016

Ramesh Sahjpaul  and
Murray Girotti
Ramesh Sahjpaul*
Affiliation:
Department of Clinical Neurological Sciences, London Health Sciences Center, London, Ontario
Murray Girotti
Affiliation:
Department of Clinical Neurological Sciences, London Health Sciences Center, London, Ontario
*
Department of Clinical Neurological Sciences, London Health Sciences Center, University Campus, 339 Windermere Rd, London, Ont N6A 5A5, Canada
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Abstract:

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Objective:

The purpose of this study was to obtain information from Canadian neurosurgeons regarding their opinions on, and utilization of, intracranial pressure (ICP) monitoring for severe traumatic brain injury (TBI).

Methods:

A brief survey was sent to practicing Canadian neurosurgeons questioning them about their utilization of, and confidence in, intracranial pressure monitoring in the management of patients with severe TBI.

Results:

One hundred and ninety-six surveys were mailed. There were 103 responses for a response rate of 52.6%. The vast majority of responding neurosurgeons (98.1%) utilized ICP monitoring in the management of patients with severe TBI, with most (63.4%) using it in more than 75% of their patients, 14.9% using it in 50-75% of patients, 14.9% in 25-50% of patients, and 6.9% using it in less than 25% of patients. The level of confidence that routine monitoring improves outcome from severe TBI ranged from 23.3% having a low level of confidence, 56.3% having an intermediate level of confidence, to 20.4% having a high level of confidence. Most respondents (78.6%) felt that some form of prospective trial evaluating the role of ICP monitoring in improving outcome from severe TBI was warranted; 17.4% felt such a trial was not warranted and 3.9% were uncertain.

Conclusions:

While ICP monitoring has gained almost universal acceptance among responding Canadian neurosurgeons, their level of confidence that routine monitoring improves outcome from severe TBI was quite variable, with only 20.4% of respondents having a high level of confidence. Over 75% of respondents felt that some form of prospective trial evaluating the utility of ICP monitoring is warranted. This information is being used in consideration of a prospective trial addressing this issue.

Type
Original Article
Information
Canadian Journal of Neurological Sciences , Volume 27 , Issue 2 , May 2000 , pp. 143 - 147
Copyright
Copyright © The Canadian Journal of Neurological 2000

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