Perioperative Anesthesia Reports
https://www.par.saesp.org.br/article/doi/10.61724/par.000223
Perioperative Anesthesia Reports
Case Report

Noninvasive intracranial pressure involving real-time waveform analysis in a child undergoing general anesthesia: a case report

Gabriela Saba, Thaís Condé, Vinícius Quintão, Gustavo Vilela, Ricardo Carlos, Maria Carmona

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Abstract

During neurosurgeries, intracranial pressure (ICP) is usually measured via an intraventricular, intraparenchymal, or subarachnoid catheter. However, the perioperative measurement of ICP is indicated in many circumstances, such as during surgeries performed in the Trendelenburg position. Standard noninvasive techniques, such as computed tomography and optic nerve sheath ultrasound, which give indirect ICP measurements, are usually inaccurate and unavailable during the perioperative period. A new noninvasive intracranial pressure (nICP) monitor (brain4careTM, São Paulo, Brazil) measures small skull deformations and precise real-time analysis of ICP. Moreover, brain4careTM is easy to use and free of complications.

Keywords

Case report; child; intracranial pressure; noninvasive

References

1. Fan JY, Kirkness C, Vicini P, Burr R, Mitchell P. Intracranial pressure waveform morphology and intracranial adaptive capacity. Am J Crit Care. 2008;17(6):545-54. http://dx.doi. org/10.4037/ajcc2008.17.6.545. PMid:18978239.

2. Vilela GH, Cabella B, Mascarenhas S, Czosnyka M, Smielewski P, Dias C, et al. Validation of a new minimally invasive intracranial pressure monitoring method by direct comparison with an invasive technique. Acta Neurochir Suppl. 2016;122:97-100. http://dx.doi.org/10.1007/978- 3-319-22533-3_19. PMid:27165885.

3. Rosenthal RJ, Hiatt JR, Phillips EH, Hewitt W, Demetriou AA, Grode M. Intracranial pressure. Effects of pneumoperitoneum in a large-animal model. Surg Endosc. 1997;11(4):376-80. http://dx.doi.org/10.1007/ s004649900367. PMid:9094281.

4. Dias C, Maia I, Cerejo A, Varsos G, Smielewski P, Paiva JÁ, et al. Pressures, flow, and brain oxygenation during plateau waves of intracranial pressure. Neurocrit Care. 2014;21(1):124-32. http://dx.doi.org/10.1007/s12028-013- 9918-y. PMid:24072460.

5. Frigieri G, Andrade RAP, Dias C, Spavieri DL Jr, Brunelli R, Cardim DA, et al. Analysis of a non-invasive intracranial pressure monitoring method in patients with traumatic brain injury. Acta Neurochir Suppl. 2018;126:107- 10. http://dx.doi.org/10.1007/978-3-319-65798-1_23. PMid:29492543.

6. Shelton CL, Klein AA, Bailey CR, El-Boghdadly K. The Anaesthesia Case Report (ACRE) checklist: a tool to promote high-quality reporting of cases in peri-operative practice. Anaesthesia. 2021;76(8):1077-81. http://dx.doi. org/10.1111/anae.15391. PMid:33440026.

7. Riley DS, Barber MS, Kienle GS, Aronson JK, von SchoenAngerer T, Tugwell P, et al. CARE guidelines for case reports: explanation and elaboration document. J Clin Epidemiol. 2017;89:218-35. http://dx.doi.org/10.1016/j. jclinepi.2017.04.026. PMid:28529185.

8. Ballestero MFM, Frigieri G, Cabella BCT, Oliveira SM, Oliveira RS. Prediction of intracranial hypertension through noninvasive intracranial pressure waveform analysis in pediatric hydrocephalus. Childs Nerv Syst. 2017;33(9):1517-24. http://dx.doi.org/10.1007/s00381- 017-3475-1. PMid:28623520.

9. Lashutka MK, Chandra A, Murray HN, Phillips GS, Hiestand BC. The relationship of intraocular pressure to intracranial pressure. Ann Emerg Med. 2004;43(5):585-91. http://dx.doi.org/10.1016/j.annemergmed.2003.12.006. PMid:15111918.

10. Mascarenhas S, Vilela GH, Carlotti C, Damiano LE, Seluque W, Colli B, et al. The new ICP minimally invasive method shows that the Monro-Kellie doctrine is not valid. Acta Neurochir Suppl. 2012;114:117-20. http://dx.doi. org/10.1007/978-3-7091-0956-4_21. PMid:22327675.

11. Saba GT, Quintão VC, Zeferino SP, Simões CM, Coelho RF, Fazoli A, et al. Noninvasive intracranial pressure real-time waveform analysis monitor during prostatectomy robotic surgery and Trendelenburg position: case report. Braz J Anesthesiol. 2021;71(6):656-9. http://dx.doi.org/10.1016/j. bjane.2021.09.003. PMid:34606786.


Submitted date:
01/26/2023

Accepted date:
03/17/2023

643d8ba5a9539579e251aad5 par Articles
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