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Indications for ICP monitoring used in Simòn Bolivar Hospital, according to the AANS recommendations (Brain Trauma Foundation, AANS. J Neurotrauma 1996;13:639-734)
Indications for ICP monitoring according to the AANS guidelines
ICP Monitoring is appropriate in patients with severe TBI with abnormal admission CT scan. Severe TBI is defined as a GCS of 3-8 after cardiopulmonary resuscitation. An abnormal CT scan of the head is one that reveals hematomas, contusions, edema or compressed basal cisterns.
ICP Monitoring is appropriate in patients with severe TBI with a normal CT scan if two or more of the following features are noted at admission: age over 40 years, unilateral or bilateral motor posturing, and systolic blood pressure <90 mmHg.
ICP Monitoring is not routinely indicated in patients with mild or moderate head injury. However, a physician may choose to monitor ICP in certain conscious patients with traumatic mass lesions.