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The first 25 slides, exactly as they appear. The full deck has 53 content slides.
Neuro Critical Care
5 Parenchymal Intracranial Pressure Monitor
Built from Jallo — Neurocritical Care Procedure Atlas
What’s inside
12 sections · 53 slides
Overview
- What this topic covers and why it matters
What an ICP monitor is
The device and how it senses pressure
- What 'ICP monitor' actually means
- Intracranial pressure monitor setup
- Two common devices - two ways to sense pressure
- What the monitor is used to guide
Why pressure rises
The Monro-Kellie Doctrine and CSF flow
- The sealed box: three things share one fixed space
- The Monro-Kellie Doctrine
- Where CSF comes from and where it goes
- Why one probe can speak for the whole brain
When to place a monitor
Indications and the guideline evidence
- Which patients may benefit
- What the Brain Trauma Foundation guidelines say
- Older criteria that still shape practice
When to be cautious
Relative contraindications
- Reasons to hesitate before placing a monitor
- Why these are only relative contraindications
The equipment
What is in the cranial access kit
- The kit at a glance
- Cranial access kit
- Drilling and access tools
- Fiber-optic catheter, bolt and calibration module
- Drugs, drapes and dressings in the set
Technique: preparation
Getting the patient and drugs ready
- Before you touch the patient
- The medications and what each is for
- Sedation and local anaesthesia
Technique: positioning and marking
Setting up the entry site
- Positioning the patient
- Marking the entry point precisely
Technique: the procedure
From incision to a live reading
- Opening the scalp and drilling the skull
- Confirming the hole and seating the bolt
- Making the track and calibrating
- Inserting the fiber-optic probe (Camino)
- After the procedure
Complications
What can go wrong and how to avoid it
- Infection and haemorrhage
- Complication rates reported in the literature
- Injuries from getting the position wrong
Expert tips and troubleshooting
Getting reliable numbers at the bedside
- Controlling scalp bleeding
- Choosing the entry site wisely
- Making sense of aberrant readings
Summary and self-assessment
Pulling the topic together
- The topic in three ideas
- High-yield facts to remember
- Why must the burr hole be kept anterior to the coronal suture and off the midline?
- A newly placed ICP monitor reads much higher than expected. How do you think it through?
- References
- Neuro ICU Procedure Atlas