Increased intracranial pressure (ICP) is one of the major causes of secondary brain ischemia that accompanies a variety of pathological conditions, most notably, traumatic brain injury (TBI), stroke, and intracranial hemorrhages. However, aside from a few Level I trauma centers, ICP monitoring is rarely a part of the clinical management of patients with these conditions because of the invasiveness of the standard monitoring methods (which require insertion of a catheter into the cranium), additional risks they present for patients, high costs associated with the procedure, and the limited access to trained personnel, i.e., a neurosurgeon. Alternative methods have therefore been sought with which ICP can be measured noninvasively 1.
A method of ICP monitoring that requires no surgery and poses no risks of infection or hemorrhage would certainly be welcomed by medical professionals, and at the very least could become the new (‘gold standard’ )in neuro-intensive care units provided it is sufficiently accurate and easy to use. The non-invasive method could also find its way to various levels of the health care system with a potential to substantially modify the current concepts of management of patients with conditions accompanied with intracranial hypertension, including but not limited to TBI.
This private initiative was created in response to this critical and costly medical problem seeking to encourage and stimulate discussions about the benefits and potential applications of non-invasive ICP monitoring, as well as current and future scientific, clinical and technical development in this field.
How far could we step forward with the non-invasive ICP measurement? What are the fields that would benefit most if such method would be introduced in clinical practice? Could ICP become one of the vital signs as the ABP became 100 years ago if it is easily accessible parameter? What are your experiences with various non-invasive ICP measurement techniques?
These, and many more questions related with non-invasive ICP monitoring are for discussion in this site, and your opinion could add great value for improvement of clinical care.
Contacts: info noninvasiveicp.com
1 Noninvasive Monitoring of Intracranial Pressure D.Popovic et al. Recent Patents on Biomedical Engineering 2009, 2, 165-179