AANS Beyond 2021: Full Collection-The role of ICP and multimodality monitoring in modern TBI

Video Transcription

Video Summary

In this video, Anthony DiGiorgio discusses the role of intracranial pressure (ICP) in multimodality monitoring in traumatic brain injury (TBI). DiGiorgio presents a case of a 25-year-old female who was struck by a car and exhibits signs of trauma, including a subcalic hematoma and contusions. He explains that although she has a reliable neurological exam and is able to talk, they would not immediately place intracranial monitors in her chest. Instead, they would monitor her closely with Q1-hour neurochecks and begin antiepileptic treatment. However, if her condition worsened, they would consider intra cranial monitoring and intubation. DiGiorgio discusses the importance of monitoring ICP in TBI and presents research that shows its correlation with poor outcomes. He also discusses different monitoring methods, such as electrophysiology and cerebral blood flow monitoring, and the guidelines recommending ICP monitoring. He emphasizes the importance of assessing autoregulation and discusses various treatment options. In conclusion, he highlights the need for integrated data systems and machine algorithms to help interpret the complex data collected from multimodality monitoring.

Keywords

intracranial pressure

multimodality monitoring

traumatic brain injury

neurological exam

antiepileptic treatment

intra cranial monitoring