Current Practices for Intracranial Pressure and Cerebral Oxygenation Monitoring in Severe Traumatic Brain Injury: A Latin American Survey

• Published in: Neurocritical care Vol. 38; no. 1; pp. 171 - 177
• Main Authors: Godoy, Daniel Agustin, Carrizosa, Jorge, Aguilera, Sergio, Videtta, Walter, Jibaja, Manuel
• Format: Journal Article
• Language: English
• Published: New York Springer US 01.02.2023; Springer Nature B.V
• Subjects: Brain Injuries, Traumatic - therapy; Brain research; Brief Communication; Catheters; Consortia; Critical Care Medicine; Hospitals; Humans; Hypertension; Industrialized nations; Intensive; Internal Medicine; Intracranial Pressure; Latin America; Localization; Medicine; Medicine & Public Health; Monitoring, Physiologic; Neurology; Neurosurgery; Oxygen saturation; Polls & surveys; Spectrum analysis; Trauma; Traumatic brain injury; Latin America; Colombia; Argentina; Chile
• ISSN: 1541-6933; 1556-0961
• DOI: 10.1007/s12028-022-01605-0

According to the characteristics of the survey, ethical approval was not required. [...]15.6% of the respondents (n = 93) reported that they began brain oxygen monitoring at the same time as ICP monitoring. The insertion of ICP and PtiO2 probes is regulated by law to be performed only by neurosurgeons. [...]a more enthusiastic attitude from neurosurgeons or adjustments in health regulations to give more freedom to intensivists to perform this practice could improve this issue. Trauma-specific centers in LA have limited distribution in the continent (Chile, Paraguay, Colombia) with different resource limitations [2]. [...]these results should be interpreted carefully because the survey was answered by neurocritical-care-dedicated physicians from 18 countries, representing a probability of < 10% of the total number of LA ICUs.