Evidence suggests that the mortality and morbidity of acquired brain injury could be reduced if clinicians used an aggressive intracranial pressure guided approach to care. Despite nearly 50 years of evidence that intracranial pressure monitoring benefits patient care, only about half of the patients who could benefit are monitored. Some clinicians express concerns regarding risks such as bleeding, infections, and inaccuracy of the technology. Others cite cost as the reason. This article discusses the risks and benefits of intracranial pressure monitoring and the current state of evidence of why patients should be monitored.
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Neurological Nursing| October 01 2005
Intracranial Pressure Monitoring: Why Monitor?
Karen March, RN, MN, CNRN, CCRN
From the Department of Clinical Development, Integra NeuroScience, Plainsboro, NJ; and the University of Washington School of Biobehavioral Nursing, Seattle.
Reprint requests to Karen March, 929 232nd Lane NE, Sammamish, WA 98074 (Ksmarch@aol.com or firstname.lastname@example.org).
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AACN Adv Crit Care (2005) 16 (4): 456–475.
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Karen March; Intracranial Pressure Monitoring: Why Monitor?. AACN Adv Crit Care 1 October 2005; 16 (4): 456–475. doi:
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