Traumatic brain injury (TBI) is a major cause of permanent disability and death in young patients. Monitoring and manipulation of intracranial pressure (ICP) has been a cornerstone in the management of these patients. Güiza et al sought to determine if the cumulative ICP burden was associated with outcomes in adult and pediatric TBI patients.
The authors showed that the ICP burden, defined by intensity and duration of intracranial hypertension, was associated with outcomes in both patient groups. They also found that children cannot tolerate high ICPs for the same amount of time as adults.
Read the full Concise Critical Appraisal by logging into the SCCM eCommunity. Concise Critical Appraisal is a regular feature aimed at highlighting the best and most relevant literature from a variety of academic journals and encouraging discussion around recent studies and research.