Intracranial Pressure Monitoring: an Effective Technique to Balance Cerebral Perfusion and Blood Pressure Reduction in ICH Patients

According to the findings of the INTERACT 2 and ATACH-2 trials, the updated American Heart Association/American Stroke Association Guidelines recommended tailoring the blood pressure target to each patient, ensuring a CPP between 60 and 80 mmHg acutely after ICH. The guidelines recognize, though, that there is an absence of definitive data for the appropriate blood pressure target after ICH, and more research is necessary. Invasive monitoring has advanced rapidly in the past few years to incorporate not only ICP monitoring, but also brain tissue oxygen and other modalities. [...]changing our treatment paradigm from a “one size fits all” to a real-time, dynamic, individualized plan has the potential to improve morbidity and mortality in the ICH population. Incidence, case fatality, and functional outcome of intracerebral haemorrhage over time, according to age, sex, and ethnic origin: a systematic review and meta-analysis.