Monitoring of Intracranial Pressure (ICP) and Tissue Oxygen Pressure (Ptio2) in Acute Brain Injury: Diagnostic and Therapeutic Approach

Abstract

Acute Brain Injury, stemming from various causes such as trauma, hemorrhages, and diseases, leads to intracranial hypertension and cerebral oxygen deprivation. The lack of prevention and treatment can be fatal, necessitating Multimodal Neuromonitoring for these patients in Intensive Care Units. Despite the historical significance of Intracranial Pressure (ICP), cerebral oxygenation monitoring, measured by Ptio2, revealed that normal ICP values do not ensure optimal brain oxygenation. The integration of Cerebral Tissue Oxygen Pressure (Ptio2) monitoring has improved outcomes, reducing social, economic, and health-related costs. This work aims to serve as a theoretical-practical tool for professionals managing neurocritical patients, examining the monitoring and management of ICP and Ptio2 in acute brain injury. The findings emphasize the importance of Ptio2 monitoring associated with ICP, enabling more precise therapeutic decisions for patients with acute brain injury.