Noninvasive Transfontanelle Monitoring of the Intracerebral Pressure in Comparison With an Invasive Intradural Intracranial Pressure Device: A Prospective Study
| Autor: | Bedjan Behmanesh, Marco Baz Bartels, Natalie Filmann, Florian Gessler, Volker Seifert, Matthias Setzer, Thomas M. Freiman |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
Correlation coefficient Intracranial Pressure 01 natural sciences 010104 statistics & probability 03 medical and health sciences 0302 clinical medicine Brain Injuries Traumatic medicine Humans Prospective Studies 0101 mathematics Subdural space Prospective cohort study Intracerebral Pressure Intracranial pressure Monitoring Physiologic Retrospective Studies integumentary system business.industry musculoskeletal neural and ocular physiology Fontanelle Infant humanities nervous system diseases medicine.anatomical_structure Anesthesia Intracranial pressure monitoring Surgery Female Neurology (clinical) Nuclear medicine business 030217 neurology & neurosurgery Craniotomy External ventricular drain Hydrocephalus |
| Zdroj: | Operative neurosurgery (Hagerstown, Md.). 13(5) |
| ISSN: | 2332-4260 |
| Popis: | Background We previously introduced a novel noninvasive technique of intracranial pressure (ICP) monitoring in children with open fontanelles. Objective To compare the ICP obtained by our new technique to the ICP derived from an intradurally implanted ICP measurement device (external ventricular drain, subdural ICP device). Methods Children with open fontanelles and need of intracranial monitoring were included in this study. A standard ICP probe was placed upon the frontal fontanelle and data were compared with the values recorded by an already invasively implanted subdural ICP technique. The 2 methods of ICP measurement were evaluated using the correlation coefficient, Bland and Altman method and method comparison by Carstensen. Results Five children under the age of 1 year with an open frontal fontanelle were included in this study. Three were male and 2 were female. Mean age was 7 months. A total of 139 pairs of measurements were assessed. Mean transfontanelle ICP was 7.6 mm Hg. Mean ICP measured subdurally was 5.4 mm Hg. The correlation analysis showed a correlation coefficient of 0.7. The Bland-Altman plot revealed a good accuracy of the new method with >95% of the values within the limits of agreement. An additional method comparison analysis confirmed the finding of accurate ICP measurements between both applied methods. Conclusion The noninvasive transfontanelle ICP monitoring method displayed a high validity and reliability as proven by correlation analysis. This novel technique might therefore be an interesting and promising tool for noninvasive ICP monitoring in children. But further research is necessary to evaluate the accuracy of this technique in children with elevated ICP. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|