A comparison of extradural and intraparenchymatous intracranial pressures in head injured patients
The reliability of extradural pressure measurements for the measure of intracranial pressure (ICP) is still controversial. This study was undertaken to assess the limits of agreement between extradural and intraparenchymatous pressures using respectively the Plastimed extradural sensor and the Camin...
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| Veröffentlicht in: | Intensive care medicine 1995-10, Vol.21 (10), p.850-852 |
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| creator | BRUDER, N N'ZOGHE, P GRAZIANI, N PELISSIER, D GRISOLI, F FRANCOIS, G |
| description | The reliability of extradural pressure measurements for the measure of intracranial pressure (ICP) is still controversial. This study was undertaken to assess the limits of agreement between extradural and intraparenchymatous pressures using respectively the Plastimed extradural sensor and the Camino fiberoptic system. The study took place in a neurosurgical intensive care unit. Ten head injured patients were included in the study, leading to the comparison of 1032 pairs of hourly ICP values. Although the measures were significantly correlated, there was no agreement between the two methods of ICP monitoring. Extradural pressure was higher than intraparenchymatous pressure (bias 9 mmHg; 95% confidence interval of bias -9.8 to 27.8 mmHg). The lack of agreement between the two methods is probably due to the unreliability of extradural pressure for the measurement of ICP. |
| doi_str_mv | 10.1007/BF01700971 |
| format | Article |
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This study was undertaken to assess the limits of agreement between extradural and intraparenchymatous pressures using respectively the Plastimed extradural sensor and the Camino fiberoptic system. The study took place in a neurosurgical intensive care unit. Ten head injured patients were included in the study, leading to the comparison of 1032 pairs of hourly ICP values. Although the measures were significantly correlated, there was no agreement between the two methods of ICP monitoring. Extradural pressure was higher than intraparenchymatous pressure (bias 9 mmHg; 95% confidence interval of bias -9.8 to 27.8 mmHg). The lack of agreement between the two methods is probably due to the unreliability of extradural pressure for the measurement of ICP.</description><identifier>ISSN: 0342-4642</identifier><identifier>EISSN: 1432-1238</identifier><identifier>DOI: 10.1007/BF01700971</identifier><identifier>PMID: 8557876</identifier><identifier>CODEN: ICMED9</identifier><language>eng</language><publisher>Heidelberg: Springer</publisher><subject>Adolescent ; Adult ; Bias ; Biological and medical sciences ; Confidence Intervals ; Craniocerebral Trauma - physiopathology ; Epidural Space ; Fiber Optic Technology ; Frontal Lobe ; Humans ; Injuries of the nervous system and the skull. Diseases due to physical agents ; Intracranial Pressure ; Male ; Medical sciences ; Middle Aged ; Monitoring, Physiologic - instrumentation ; Monitoring, Physiologic - methods ; Reproducibility of Results ; Traumas. 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This study was undertaken to assess the limits of agreement between extradural and intraparenchymatous pressures using respectively the Plastimed extradural sensor and the Camino fiberoptic system. The study took place in a neurosurgical intensive care unit. Ten head injured patients were included in the study, leading to the comparison of 1032 pairs of hourly ICP values. Although the measures were significantly correlated, there was no agreement between the two methods of ICP monitoring. Extradural pressure was higher than intraparenchymatous pressure (bias 9 mmHg; 95% confidence interval of bias -9.8 to 27.8 mmHg). The lack of agreement between the two methods is probably due to the unreliability of extradural pressure for the measurement of ICP.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Bias</subject><subject>Biological and medical sciences</subject><subject>Confidence Intervals</subject><subject>Craniocerebral Trauma - physiopathology</subject><subject>Epidural Space</subject><subject>Fiber Optic Technology</subject><subject>Frontal Lobe</subject><subject>Humans</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>Intracranial Pressure</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Monitoring, Physiologic - instrumentation</subject><subject>Monitoring, Physiologic - methods</subject><subject>Reproducibility of Results</subject><subject>Traumas. 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Diseases due to physical agents</topic><topic>Intracranial Pressure</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Monitoring, Physiologic - instrumentation</topic><topic>Monitoring, Physiologic - methods</topic><topic>Reproducibility of Results</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BRUDER, N</creatorcontrib><creatorcontrib>N'ZOGHE, P</creatorcontrib><creatorcontrib>GRAZIANI, N</creatorcontrib><creatorcontrib>PELISSIER, D</creatorcontrib><creatorcontrib>GRISOLI, F</creatorcontrib><creatorcontrib>FRANCOIS, G</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Intensive care medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BRUDER, N</au><au>N'ZOGHE, P</au><au>GRAZIANI, N</au><au>PELISSIER, D</au><au>GRISOLI, F</au><au>FRANCOIS, G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A comparison of extradural and intraparenchymatous intracranial pressures in head injured patients</atitle><jtitle>Intensive care medicine</jtitle><addtitle>Intensive Care Med</addtitle><date>1995-10-01</date><risdate>1995</risdate><volume>21</volume><issue>10</issue><spage>850</spage><epage>852</epage><pages>850-852</pages><issn>0342-4642</issn><eissn>1432-1238</eissn><coden>ICMED9</coden><abstract>The reliability of extradural pressure measurements for the measure of intracranial pressure (ICP) is still controversial. This study was undertaken to assess the limits of agreement between extradural and intraparenchymatous pressures using respectively the Plastimed extradural sensor and the Camino fiberoptic system. The study took place in a neurosurgical intensive care unit. Ten head injured patients were included in the study, leading to the comparison of 1032 pairs of hourly ICP values. Although the measures were significantly correlated, there was no agreement between the two methods of ICP monitoring. Extradural pressure was higher than intraparenchymatous pressure (bias 9 mmHg; 95% confidence interval of bias -9.8 to 27.8 mmHg). The lack of agreement between the two methods is probably due to the unreliability of extradural pressure for the measurement of ICP.</abstract><cop>Heidelberg</cop><cop>Berlin</cop><pub>Springer</pub><pmid>8557876</pmid><doi>10.1007/BF01700971</doi><tpages>3</tpages></addata></record> |
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| ispartof | Intensive care medicine, 1995-10, Vol.21 (10), p.850-852 |
| issn | 0342-4642 1432-1238 |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adolescent Adult Bias Biological and medical sciences Confidence Intervals Craniocerebral Trauma - physiopathology Epidural Space Fiber Optic Technology Frontal Lobe Humans Injuries of the nervous system and the skull. Diseases due to physical agents Intracranial Pressure Male Medical sciences Middle Aged Monitoring, Physiologic - instrumentation Monitoring, Physiologic - methods Reproducibility of Results Traumas. Diseases due to physical agents |
| title | A comparison of extradural and intraparenchymatous intracranial pressures in head injured patients |
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