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Critical Care, Department of Medicine, Hôpital du Sacré-Cœur
Historically, monitoring of severe traumatic brain injury (TBI) patients focused on intracranial pressure (ICP) and cerebral perfusion pressure (CPP) to prevent secondary brain injury. Elevated ICP is associated with increased mortality, making its monitoring a measure of quality of care. The document highlights the limitations of ICP monitoring and the role of multimodality monitoring in improving patient outcomes. It also discusses the physiological mechanisms critical for effective ICP management and neuroprotection.
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