Academic Journal
Utilization of Noninvasive Intracranial Pressure Monitoring in Patients with Traumatic Brain Injury Treated in Low-Resource Settings: The Intrigo Study.
| Τίτλος: | Utilization of Noninvasive Intracranial Pressure Monitoring in Patients with Traumatic Brain Injury Treated in Low-Resource Settings: The Intrigo Study. |
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| Συγγραφείς: | Picetti E; Department of Anesthesia and Intensive Care, Parma University Hospital, Parma, Italy. edoardopicetti@hotmail.com., Taccone FS; Department of Intensive Care, Hôpital Universitaire de Bruxelles (HUB), Université Libre de Bruxelles (ULB), Brussels, Belgium., Adeleye AO; Department of Neurological Surgery, University College Hospital, Ibadan, Nigeria., Brasil S; Division of Neurosurgery, Department of Neurology, School of Medicine, University of São Paulo, São Paulo, Brazil., Godoy DA; Neuroscience Institute, Universidad El Bosque, Bogota, Colombia., Prabhakar H; Department of Neuroanaesthesiology and Neurocritical Care, All India Institute of Medical Sciences, New Delhi, India., Rubiano AM; Neuroscience Institute, Universidad El Bosque, Bogota, Colombia., Shrestha GS; Institute of Medicine, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.; Australian and New Zealand Intensive Care Research Centre (ANZIC-RC), School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia., Tirsit A; Neurosurgery Division, Department of Surgery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia., Videtta W; Department of Intensive Care, Posadas Hospital, Buenos Aires, Argentina., Robba C; IRCCS, Policlínico San Martino, Genoa, Italy. |
| Πηγή: | Neurocritical care [Neurocrit Care] 2026 Oct; Vol. 45 (2), pp. 564-570. Date of Electronic Publication: 2026 Apr 02. |
| Τύπος έκδοσης: | Journal Article; Multicenter Study |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Humana Press Country of Publication: United States NLM ID: 101156086 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1556-0961 (Electronic) Linking ISSN: 15416933 NLM ISO Abbreviation: Neurocrit Care Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Totowa, NJ : Humana Press, c2004- |
| Ιατρικοί όροι (MeSH): | Brain Injuries, Traumatic*/physiopathology , Brain Injuries, Traumatic*/therapy , Brain Injuries, Traumatic*/diagnostic imaging , Brain Injuries, Traumatic*/complications , Intracranial Pressure*/physiology , Intracranial Hypertension*/diagnosis , Intracranial Hypertension*/etiology , Neurophysiological Monitoring*/statistics & numerical data , Neurophysiological Monitoring*/methods , Optic Nerve*/diagnostic imaging , Practice Patterns, Physicians'*/statistics & numerical data, Monitoring, Physiologic/statistics & numerical data ; Health Care Surveys/statistics & numerical data ; Humans ; Resource-Limited Settings |
| Περίληψη: | Background: Invasive intracranial pressure (ICP) monitoring is not universally available in low-resource settings, mainly owing to high costs. In this scenario, noninvasive ICP (nICP) estimation could be integrated in therapeutic protocols. The objective of this international survey was to describe the utilization of nICP monitoring in this setting. Methods: The survey comprised 23 items. Target respondents were doctors treating patients with severe traumatic brain injury (TBI) in low-resource settings without the availability of invasive ICP monitoring. Results: In total, 126 physicians from 114 centers among 21 countries worldwide responded. The main findings of this study were: (a) a predominant use of optic nerve sheath diameter (ONSD) as nICP assessment tool; (b) the utilization of at least two methods for nICP estimation in approximately half of the cases; and (c) the absence of specific protocol for nICP monitoring. We also reported a certain degree of variability regarding the parameters suggestive of intracranial hypertension for each of the methods used. Conclusions: Brain ultrasounds, particularly ONSD assessment, are the most frequently utilized tools for nICP estimation in patients with TBI managed in low-resource settings worldwide. Educational efforts linked with protocols development could be a step forward to improve the care of TBI in resource-limited settings, but further studies in this field are necessary. (© 2026. Springer Science+Business Media, LLC, part of Springer Nature and Neurocritical Care Society.) |
| Competing Interests: | Declarations. Conflict of Interest: SB is a senior scientific advisor for brain4care. |
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| Contributed Indexing: | Keywords: Intracranial pressure; Low-resource setting; Monitoring; Noninvasive; Traumatic brain injury |
| Entry Date(s): | Date Created: 20260402 Date Completed: 20261007 Latest Revision: 20261007 |
| Update Code: | 20261007 |
| DOI: | 10.1007/s12028-026-02494-3 |
| PMID: | 41927988 |
| Βάση Δεδομένων: | MEDLINE |
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