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Intracranial Pressure

Overview of attention for book
Cover of 'Intracranial Pressure & Neuromonitoring XVI'

Table of Contents

  1. Altmetric Badge
    Book Overview
  2. Altmetric Badge
    Chapter 1 Cerebral Perfusion Pressure Variability Between Patients and Between Centres
  3. Altmetric Badge
    Chapter 2 Pre-hospital Predictors of Impaired ICP Trends in Continuous Monitoring of Paediatric Traumatic Brain Injury Patients
  4. Altmetric Badge
    Chapter 3 Prognosis of Severe Traumatic Brain Injury Outcomes in Children
  5. Altmetric Badge
    Chapter 4 Do ICP-Derived Parameters Differ in Vegetative State from Other Outcome Groups After Traumatic Brain Injury?
  6. Altmetric Badge
    Chapter 5 Cerebral Arterial Compliance in Traumatic Brain Injury
  7. Altmetric Badge
    Chapter 6 The Cerebrovascular Resistance in Combined Traumatic Brain Injury with Intracranial Hematomas
  8. Altmetric Badge
    Chapter 7 Computed Tomography Indicators of Deranged Intracranial Physiology in Paediatric Traumatic Brain Injury
  9. Altmetric Badge
    Chapter 8 Mean Square Deviation of ICP in Prognosis of Severe TBI Outcomes in Children
  10. Altmetric Badge
    Chapter 9 KidsBrainIT: A New Multi-centre, Multi-disciplinary, Multi-national Paediatric Brain Monitoring Collaboration
  11. Altmetric Badge
    Chapter 10 Increased ICP and Its Cerebral Haemodynamic Sequelae
  12. Altmetric Badge
    Chapter 11 What Determines Outcome in Patients That Suffer Raised Intracranial Pressure After Traumatic Brain Injury?
  13. Altmetric Badge
    Chapter 12 Visualisation of the ‘Optimal Cerebral Perfusion’ Landscape in Severe Traumatic Brain Injury Patients
  14. Altmetric Badge
    Chapter 13 Is There a Relationship Between Optimal Cerebral Perfusion Pressure-Guided Management and PaO2/FiO2 Ratio After Severe Traumatic Brain Injury?
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    Chapter 14 Cognitive Outcomes of Patients with Traumatic Bifrontal Contusions
  16. Altmetric Badge
    Chapter 15 Non-invasive Intracranial Pressure Assessment in Brain Injured Patients Using Ultrasound-Based Methods
  17. Altmetric Badge
    Chapter 16 Analysis of a Minimally Invasive Intracranial Pressure Signals During Infusion at the Subarachnoid Spinal Space of Pigs
  18. Altmetric Badge
    Chapter 17 Comparison of Different Calibration Methods in a Non-invasive ICP Assessment Model
  19. Altmetric Badge
    Chapter 18 An Embedded Device for Real-Time Noninvasive Intracranial Pressure Estimation
  20. Altmetric Badge
    Chapter 19 Transcranial Bioimpedance Measurement as a Non-invasive Estimate of Intracranial Pressure
  21. Altmetric Badge
    Chapter 20 Pulsed Electromagnetic Field (PEMF) Mitigates High Intracranial Pressure (ICP) Induced Microvascular Shunting (MVS) in Rats
  22. Altmetric Badge
    Chapter 21 Volumetric Ophthalmic Ultrasound for Inflight Monitoring of Visual Impairment and Intracranial Pressure
  23. Altmetric Badge
    Chapter 22 Does the Variability of Evoked Tympanic Membrane Displacement Data (V m) Increase as the Magnitude of the Pulse Amplitude Increases?
  24. Altmetric Badge
    Chapter 23 Analysis of a Non-invasive Intracranial Pressure Monitoring Method in Patients with Traumatic Brain Injury
  25. Altmetric Badge
    Chapter 24 A Wearable Transcranial Doppler Ultrasound Phased Array System
  26. Altmetric Badge
    Chapter 25 Quantification of Macrocirculation and Microcirculation in Brain Using Ultrasound Perfusion Imaging
  27. Altmetric Badge
    Chapter 26 HDF5-Based Data Format for Archiving Complex Neuro-monitoring Data in Traumatic Brain Injury Patients
  28. Altmetric Badge
    Chapter 27 Are Slow Waves of Intracranial Pressure Suppressed by General Anaesthesia?
  29. Altmetric Badge
    Chapter 28 Critical Closing Pressure During a Controlled Increase in Intracranial Pressure
  30. Altmetric Badge
    Chapter 29 Effect of Mild Hypocapnia on Critical Closing Pressure and Other Mechanoelastic Parameters of the Cerebrospinal System
  31. Altmetric Badge
    Chapter 30 Occurrence of CPPopt Values in Uncorrelated ICP and ABP Time Series
  32. Altmetric Badge
    Chapter 31 Simultaneous Transients of Intracranial Pressure and Heart Rate in Traumatic Brain Injury: Methods of Analysis
  33. Altmetric Badge
    Chapter 32 Increasing the Contrast-to-Noise Ratio of MRI Signals for Regional Assessment of Dynamic Cerebral Autoregulation
  34. Altmetric Badge
    Chapter 33 Comparing Models of Spontaneous Variations, Maneuvers and Indexes to Assess Dynamic Cerebral Autoregulation
  35. Altmetric Badge
    Chapter 34 ICP and Antihypertensive Drugs
  36. Altmetric Badge
    Chapter 35 ICP: From Correlation to Causation
  37. Altmetric Badge
    Chapter 36 A Waveform Archiving System for the GE Solar 8000i Bedside Monitor
  38. Altmetric Badge
    Chapter 37 Deriving the PRx and CPPopt from 0.2-Hz Data: Establishing Generalizability to Bedmaster Users
  39. Altmetric Badge
    Chapter 38 Medical Waveform Format Encoding Rules Representation of Neurointensive Care Waveform Data
  40. Altmetric Badge
    Chapter 39 Multi-Scale Peak and Trough Detection Optimised for Periodic and Quasi-Periodic Neuroscience Data
  41. Altmetric Badge
    Chapter 40 Room Air Readings of Brain Tissue Oxygenation Probes
  42. Altmetric Badge
    Chapter 41 What Do We Mean by Cerebral Perfusion Pressure?
  43. Altmetric Badge
    Chapter 42 Investigation of the Relationship Between the Burden of Raised ICP and the Length of Stay in a Neuro-Intensive Care Unit
  44. Altmetric Badge
    Chapter 43 Pressure Reactivity-Based Optimal Cerebral Perfusion Pressure in a Traumatic Brain Injury Cohort
  45. Altmetric Badge
    Chapter 44 Spaceflight-Induced Visual Impairment and Globe Deformations in Astronauts Are Linked to Orbital Cerebrospinal Fluid Volume Increase
  46. Altmetric Badge
    Chapter 45 Ventriculomegaly in the Elderly: Who Needs a Shunt? A MRI Study on 90 Patients
  47. Altmetric Badge
    Chapter 46 Is There a Link Between ICP-Derived Infusion Test Parameters and Outcome After Shunting in Normal Pressure Hydrocephalus?
  48. Altmetric Badge
    Chapter 47 Mathematical Modelling of CSF Pulsatile Flow in Aqueduct Cerebri
  49. Altmetric Badge
    Chapter 48 Cerebrospinal Fluid and Cerebral Blood Flows in Idiopathic Intracranial Hypertension
  50. Altmetric Badge
    Chapter 49 Significant Association of Slow Vasogenic ICP Waves with Normal Pressure Hydrocephalus Diagnosis
  51. Altmetric Badge
    Chapter 50 ICP Monitoring and Phase-Contrast MRI to Investigate Intracranial Compliance
  52. Altmetric Badge
    Chapter 51 Numerical Cerebrospinal System Modeling in Fluid-Structure Interaction
  53. Altmetric Badge
    Chapter 52 Differential Systolic and Diastolic Regulation of the Cerebral Pressure-Flow Relationship During Squat-Stand Manoeuvres
  54. Altmetric Badge
    Chapter 53 Normative Ranges of Transcranial Doppler Metrics
  55. Altmetric Badge
    Chapter 54 Autoregulating Cerebral Tissue Selfishly Exploits Collateral Flow Routes Through the Circle of Willis
  56. Altmetric Badge
    Chapter 55 ICP Monitoring by Open Extraventricular Drainage: Common Practice but Not Suitable for Advanced Neuromonitoring and Prone to False Negativity
  57. Altmetric Badge
    Chapter 56 Comparison of Intracranial Pressure and Pressure Reactivity Index Obtained Through Pressure Measurements in the Ventricle and in the Parenchyma During and Outside Cerebrospinal Fluid Drainage Episodes in a Manipulation-Free Patient Setting
  58. Altmetric Badge
    Chapter 57 Visualizing Cerebrovascular Autoregulation Insults and Their Association with Outcome in Adult and Paediatric Traumatic Brain Injury
  59. Altmetric Badge
    Chapter 58 Assessing Cerebral Hemodynamic Stability After Brain Injury
  60. Altmetric Badge
    Chapter 59 Systolic and Diastolic Regulation of the Cerebral Pressure-Flow Relationship Differentially Affected by Acute Sport-Related Concussion
  61. Altmetric Badge
    Chapter 60 Induced Dynamic Intracranial Pressure and Cerebrovascular Reactivity Assessment of Cerebrovascular Autoregulation After Traumatic Brain Injury with High Intracranial Pressure in Rats
  62. Altmetric Badge
    Chapter 61 Prediction of the Time to Syncope Occurrence in Patients Diagnosed with Vasovagal Syncope
  63. Altmetric Badge
    Chapter 62 Statistical Signal Properties of the Pressure-Reactivity Index (PRx)
Attention for Chapter 43: Pressure Reactivity-Based Optimal Cerebral Perfusion Pressure in a Traumatic Brain Injury Cohort
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Chapter title
Pressure Reactivity-Based Optimal Cerebral Perfusion Pressure in a Traumatic Brain Injury Cohort
Chapter number 43
Book title
Intracranial Pressure & Neuromonitoring XVI
Published in
Acta neurochirurgica Supplement, January 2018
DOI 10.1007/978-3-319-65798-1_43
Pubmed ID
Book ISBNs
978-3-31-965797-4, 978-3-31-965798-1
Authors

J. Donnelly, M. Czosnyka, H. Adams, C. Robba, L. A. Steiner, D. Cardim, B. Cabella, X. Liu, A. Ercole, P. J. Hutchinson, D. K. Menon, M. J. H. Aries, P. Smielewski, Donnelly, J., Czosnyka, M., Adams, H., Robba, C., Steiner, L. A., Cardim, D., Cabella, B., Liu, X., Ercole, A., Hutchinson, P. J., Menon, D. K., Aries, M. J. H., Smielewski, P.

Abstract

Retrospective data from patients with severe traumatic brain injury (TBI) indicate that deviation from the continuously calculated pressure reactivity-based "optimal" cerebral perfusion pressure (CPPopt) is associated with worse patient outcome. The objective of this study was to assess the relationship between prospectively collected CPPopt data and patient outcome after TBI. We prospectively collected intracranial pressure (ICP) monitoring data from 231 patients with severe TBI at Addenbrooke's Hospital, UK. Uncleaned arterial blood pressure and ICP signals were recording using ICM+®software on dedicated bedside computers. CPPopt was determined using an automatic curve fitting procedure of the relationship between pressure reactivity index (PRx) and CPP using a 4-h window, as previously described. The difference between an instantaneous CPP value and its corresponding CPPopt value was denoted every minute as ΔCPPopt. A negative ΔCPPopt that was associated with impaired PRx (>+0.15) was denoted as being below the lower limit of reactivity (LLR). Glasgow Outcome Scale (GOS) score was assessed at 6 months post-ictus. When ΔCPPopt was plotted against PRx and stratified by GOS groupings, data belonging to patients with a more unfavourable outcome had a U-shaped curve that shifted upwards. More time spent with a ΔCPPopt value below the LLR was positively associated with mortality (area under the receiver operating characteristic curve = 0.76 [0.68-0.84]). In a recent cohort of patients with severe TBI, the time spent with a CPP below the CPPopt-derived LLR is related to mortality. Despite aggressive CPP- and ICP-oriented therapies, TBI patients with a fatal outcome spend a significant amount of time with a CPP below their individualised CPPopt, indicating a possible therapeutic target.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 44 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 44 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 9 20%
Other 8 18%
Researcher 5 11%
Student > Bachelor 2 5%
Professor 2 5%
Other 5 11%
Unknown 13 30%
Readers by discipline Count As %
Medicine and Dentistry 15 34%
Engineering 4 9%
Neuroscience 4 9%
Agricultural and Biological Sciences 2 5%
Nursing and Health Professions 2 5%
Other 4 9%
Unknown 13 30%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 22 October 2018.
All research outputs
#14,377,572
of 23,025,074 outputs
Outputs from Acta neurochirurgica Supplement
#74
of 190 outputs
Outputs of similar age
#240,513
of 442,363 outputs
Outputs of similar age from Acta neurochirurgica Supplement
#6
of 22 outputs
Altmetric has tracked 23,025,074 research outputs across all sources so far. This one is in the 35th percentile – i.e., 35% of other outputs scored the same or lower than it.
So far Altmetric has tracked 190 research outputs from this source. They receive a mean Attention Score of 2.4. This one has gotten more attention than average, scoring higher than 56% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 442,363 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 42nd percentile – i.e., 42% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 22 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 68% of its contemporaries.