Document Type: short communication


1 RED LATINO, Latin American Trauma & Intensive Neuro-Care Organization, Bogotá, Colombia

2 Universidad El Bosque, Latin American Trauma & Intensive Neuro-Care Organization, Bogotá, Colombia

3 National University Autonomous of Mexico, Mexico D.F, Mexico


Objective: Monitoring of intracranial pressure (ICP) is a routine procedure in the neurosurgery field. Although the routine practice of monitoring ICP has decreased in recent years, the practice patterns have not been studied in Colombia. This study was designed to evaluate the current practice forventriculostomy and ICP monitoring by neurosurgeons in Colombia.
Methods: An 11-question electronic survey was delivered to 380 practicing neurosurgeons.Demographic information and rates of proper ventriculostomy placement for monitoring of ICP were described.
Results:Fifty-one percent of practicing neurosurgeons responded to the survey (response rate 13.4%). The rate of successful cannulation of the ipsilateral ventricle ranged from 70% to 100%.
Conclusion:This survey shows that Colombian neurosurgeons have similar tendencies to
other developed countries. Prospective studies are necessary to establish actual evidence-based practices


Main Subjects

1. O’Neill BR, Velez DA, Braxton EE, Whiting D, Oh MY. A survey of ventriculostomy and intracranial pressure monitor placement practices. Surg Neurol 2008; 70(3): 268-73. doi: 10.1016/j.surneu.2007.05.007.

2. Binz DD, Toussiant LG 3rd, Friedman JA. Hemorrhagic complications of ventriculostomy placement: a meta-analysis. Neurocrit Care 2009; 10(2): 253-6. doi: 10.1007/s12028-009-9193-0.

3. Rehman T, Rehman AU, Rehman A, Bashir HH, Ali R, Bhimani SA, et al. A US-based survey on ventriculostomy practices. Clin Neurol Neurosurg 2012;114(6): 651-4. doi: 10.1016/j.clineuro.2011.12.040.

4. Albeck MJ, Børgesen SE, Gjerris F, Schmidt JF, Sørensen PS. Intracranial pressure and cerebrospinal fluid outflow conductance in healthy subjects. J Neurosurg 1991; 74(4): 597-600. doi: 10.3171/jns.1991.74.4.0597.

5. Brain Trauma Foundation; American Association of Neurological Surgeons; Congress of Neurological Surgeons; Joint Section on Neurotrauma and Critical Care, AANS/CNS, Bratton SL, et al. Guidelines for the management of severe traumatic brain injury. IX. Cerebral perfusion thresholds. J Neurotrauma 2007; 24 Suppl 1: S59-64. doi: 10.1089/neu.2007.9987.

6. Brain Trauma Foundation, American Association of Neurological Surgeons, Congress of Neurological Surgeons, Joint Section on Neurotrauma and Critical Care, AANS/CNS, Bratton SL, et al. Guidelines for the management of severe traumatic brain injury. VI. Indications for intracranial pressure monitorering. J Neurotrauma 2007; 24 Suppl 1: S37-44. doi: 10.1089/neu.2007.9990.

7. Singhi SC, Tiwari L. Management of intracranial hypertension. Indian J Pediatr 2009; 76(5): 519-29. doi: 10.1007/s12098-009-0137-7.

8. Martin G. Lundberg’s B waves as a feature of normal intracranial pressure. Surg Neurol 1978; 9(6): 347-8.

9. Perez-Barcena J, Llompart-Pou JA, O’Phelan KH. Intracranial pressure monitoring and management of intracranial hypertension. Crit Care Clin 2014; 30(4): 735-50. doi: 10.1016/j.ccc.2014.06.005.

10. Zhong J, Dujovny M, Park HK, Perez E, Perlin AR, Diaz FG. Advances in ICP monitoring techniques. Neurol Res 2003; 25(4): 339-50. doi:10.1179/016164103101201661.

11. Cremer OL, van Dijk GW, van Wensen E, Brekelmans GJ, Moons KG, Leenen LP, et al. Effect of intracranial pressure monitoring and targeted intensive care on functional outcome after severe head injury. Crit Care Med 2005; 33(10): 2207-13. doi: 10.1097/01.ccm.0000181300.99078.b5.

12. Shafi S, Diaz-Arrastia R, Madden C, Gentilello L. Intracranial pressure monitoring in brain-injured patients is associated with worsening of survival. J Trauma 2008; 64(2): 335-40. doi: 10.1097/ta.0b013e31815dd017.

13. Stover JF. Actual evidence for neuromonitoring-guided intensive care following severe traumatic brain injury. Swiss Med Wkly 2011;141:w13245. doi:10.4414/smw.2011.13245.

14. Hawthorne C, Piper I. Monitoring of intracranial pressure in patients with traumatic brain injury. Front Neurol 2014; 5: 121. doi: 10.3389/fneur.2014.00121.

15. Kawoos U, McCarron RM, Auker CR, Chavko M. Advances in intracranial pressure monitoring and its significance in managing traumatic brain injury. Int J Mol Sci 2015; 16(12): 28979-97. doi: doi:10.1016/j.cnc.2015.02.002.

16. Mahdavi Z, Pierre-Louis N, Ho TT, Figueroa SA, Olson DM. Advances in cerebral monitoring for the patient with traumatic brain injury. Crit Care Nurs Clin North Am 2015; 27(2): 213-23. doi: 10.3390/ijms161226146.

17. Le Roux P. Intracranial pressure after the BEST TRIP trial: a call for more monitoring. Curr Opin Crit Care 2014; 20(2): 141-7. doi:10.1097/mcc.0000000000000078.

18. Citerio G, Oddo M, Taccone FS. Recommendations for the use of multimodal monitoring in the neurointensive care unit. Curr Opin Crit Care 2015; 21(2): 113-9. doi: 10.1097/mcc.0000000000000179.

19. Schomer AC, Hanafy K. Neuromonitoring in the ICU. Int Anesthesiol Clin 2015; 53(1): 107-22. doi: 10.1097/AIA.0000000000000042.

20. Yuan Q, Wu X, Sun Y, Yu J, Li Z, Du Z, et al. Impact of intracranial pressure monitoring on mortality in patients with traumatic brain injury: a systematic review and meta-analysis. J Neurosurg 2015; 122(3): 574-87. doi: 10.3171/2014.10.JNS1460.

21. Le Roux P, Menon DK, Citerio G, Vespa P, Bader MK, Brophy G, et al. The International Multidisciplinary Consensus Conference on Multimodality Monitoring in Neurocritical Care: a list of recommendations and additional conclusions: a statement for healthcare professionals from the Neurocritical Care Society and the European Society of Intensive Care Medicine. Neurocrit Care 2014; 21 Suppl 2: S282-96. doi: 10.3171/2014.10.JNS1460.