Germon K
Crit Care Nurs Q. 1994 May;17(1):21-32. doi: 10.1097/00002727-199405000-00004.
Monitoring intracranial pressure (ICP) has grown beyond that of obtaining of a single pressure value. Critical thinking must be employed by health professionals before the insertion of an ICP monitoring device. Given the wide selection of monitoring devices currently available, consideration must be given to what the goal of monitoring is for an individual patient. Data obtained from an ICP monitoring device can be used to determine cerebral perfusion pressure, cerebral compliance, effectiveness of interventions, and the impact of the patient's environment on cerebral hemodynamics. Emerging trends in computer data collection and analysis may further extend the usefulness of continuous ICP monitoring. Ethical considerations encountered when monitoring ICP must also be considered. This article discusses these issues, as well as the ongoing interpretation and assessment required when caring for a patient with an ICP monitoring device.
颅内压（ICP）监测已不再局限于获取单一压力值。在插入ICP监测设备之前，医疗专业人员必须运用批判性思维。鉴于目前有多种监测设备可供选择，必须考虑个体患者的监测目的。从ICP监测设备获得的数据可用于确定脑灌注压、脑顺应性、干预措施的有效性以及患者环境对脑血流动力学的影响。计算机数据收集和分析方面的新趋势可能会进一步扩展连续ICP监测的用途。监测ICP时遇到的伦理问题也必须加以考虑。本文讨论了这些问题，以及在护理使用ICP监测设备的患者时所需的持续解读和评估。
