Use of intracranial compliance to assist arterial blood pressure adjustment in critical patients: Short report and review of the literature.

Surgical neurology international Pub Date : 2024-08-16 eCollection Date: 2024-01-01 DOI:10.25259/SNI_92_2024

Salomon Soriano Ordinola Rojas, Mateus Gonçalves de Sena Barbosa, Amanda Ayako Minemura Ordinola, Vinícius Otávio da Silva, Rafaela Luiza Vilela de Souza, Gustavo Frigieri, Nícollas Nunes Rabelo

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Abstract

Background: Blood pressure management is extremely important to prevent cerebral hypoxia and influence the outcome of critically ill patients. In medicine, precise instruments are essential to increase patient safety in the intensive care unit (ICU), including intracranial compliance (ICC) monitoring. A new technology developed by Brain4care, makes it possible to analyze the waveform of intracranial pressure (ICP) non-invasively associated with ICC, and this instrument was used in the patient for monitoring.

Case description: A 40-year-old male underwent aortic endocarditis surgery involving 182-min extracorporeal circulation and 9-min aortic clamping. Post-surgery, he exhibited a seizure bilateral mydriasis, followed by isochoric pupils and rapid foot movements. Neuroprotection measures were applied in the ICU, with noninvasive ICC monitoring initiated to assess intervention effectiveness.

Conclusion: The non-invasive measurement of ICP can help clinical decision-making regarding the optimization of adapted protocols for neuroprotection in the ICU.

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利用颅内顺应性帮助危重病人调整动脉血压：简短报告和文献综述。

背景：血压管理对于预防大脑缺氧和影响危重病人的预后极为重要。在医学领域，精确的仪器对于提高重症监护室（ICU）的患者安全至关重要，其中包括颅内顺应性（ICC）监测。Brain4care 公司开发的一项新技术可以无创分析与 ICC 相关的颅内压（ICP）波形，该仪器被用于患者的监测：一名 40 岁的男性接受了主动脉心内膜炎手术，包括 182 分钟的体外循环和 9 分钟的主动脉夹闭。手术后，他出现癫痫发作、双侧瞳孔散大、瞳孔等大和足部快速移动。重症监护室采取了神经保护措施，并启动了无创 ICC 监测以评估干预效果：无创 ICP 测量有助于临床决策，优化重症监护病房的神经保护方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Surgical neurology international

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