| Autor: |
John Usuah, Damilola Jesuyajolu, Olufemi Bankole, Omotayo Ojo |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Předmět: |
|
| Zdroj: |
Brain and Spine, Vol 3, Iss , Pp 101737- (2023) |
| Druh dokumentu: |
article |
| ISSN: |
2772-5294 |
| DOI: |
10.1016/j.bas.2023.101737 |
| Popis: |
Background: The high cost and non-availability of standard ICP monitoring devices limit their use in low- and middle-income countries like Nigeria. This study aims to demonstrate the use of an improvised intraventricular ICP monitoring device as a feasible alternative. Research question: Are improvised ICP Monitoring devices feasible and effective in resource-constrained settings? Materials and methods: The study was a prospective single-institution investigation involving 54 adult patients that presented with severe TBI (GCS of 3–8) within 72 h of injury and required operative intervention. All patients underwent craniotomy or primary decompressive craniectomy (DC) to evacuate traumatic mass lesions. 14-day in-hospital mortality was used as a primary endpoint of the study. 25 patients had ICP monitoring postoperatively using the improvised device. Results: The modified ICP device was replicated using a feeding tube and a manometer with 0.9% saline as a coupling agent. Based on hourly ICP recording (up to 72 h), patients were observed as having high ICP (>27 cm H2O) and normal ICP (27 cm H2O). In the ICP-monitored group, raised ICP was detected more than in the clinically assessed group (84% vs 12% p= |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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