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Fig. 2 | Critical Care

Fig. 2

From: Variation in monitoring and treatment policies for intracranial hypertension in traumatic brain injury: a survey in 66 neurotrauma centers participating in the CENTER-TBI study

Fig. 2

a Algorithm for ICP management: ICP monitoring. The blue box represents ICP monitoring with the policy of parenchymal monitor on the left and ventricular catheter on the right. Orange boxes are checkpoints during the ICP monitoring process. The N value represents the number of centers that indicated this answer as general policy with a corresponding percentage. The number in parentheses after the titles represents the number of centers that completed this question. 1 Centers that indicated these situations as the top one of the top three reasons for choosing a ventricular or parenchymal catheter. 2 Frequently and always summed. 3 Arterial blood pressure, midauricular level, ventricular motor, not applicable (we use only parenchymal monitors), room air, calibrated by device and meatus externa. 4 Prior to insertion of ventricular catheter for ICP monitoring. 5 Depending on other factors, such as the use of platelet aggregation inhibitors. 6 Multiplate and rotational thromboelastometric analysis prior to surgery if concerns. b Algorithm for ICP management: treatment indications, first- and second-tier treatment. The red box represents ICP treatment with first-tier treatment on top and second-tier treatment at the bottom. Orange boxes are checkpoints during the ICP treatment process. The N value represents the number of centers that indicated this answer as general policy with a corresponding percentage. The number in parentheses after the titles represents the number of centers that completed this question. 1 Decompressive craniectomy is (almost) never performed in our hospital. 2 Multiple answers were possible. 3 Only if ventricles are enlarged. 4 Frequently and always summed. 5 Clonidine or dexmedetomidine. 6 Sufentanil (4), remifentanil (2), β-blockers (1), alfentanil (2), esketamine (1). 7 Standard continuous infusion. 8 PaCO2 < 30 mmHg. 9 Variable, depends on patient. 10 Variable, depends on physician. CPP Cerebral perfusion pressure, CSF Cerebrospinal fluid, EEG Electroencephalogram, HS Hypertonic saline, ICP Intracranial pressure, INR International normalized ratio, IV Intravenous, PaCO 2 Partial pressure of carbon dioxide

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