AI Summary
After studying the effects of intracranial pressure and PbtO2 monitoring on patients with severe traumatic brain injury, it was found that it did not improve neurological outcomes after 6 months. Technical issues were more common in the group that underwent this monitoring. More research is needed to determine if targeted monitoring could benefit specific patient subgroups.
After severe non-penetrating traumatic brain injury, intracranial pressure and PbtO2 monitoring did not reduce the proportion of patients with poor neurological outcome at 6 months. Technical failures related to intracerebral catheter and intracerebral haematoma were more frequent in the intracranial pressure and PbtO2 group. Further research is needed to assess whether a targeted approach to multimodal brain monitoring could be useful in subgroups of patients with severe traumatic brain injury–eg, those with high intracranial pressure on admission.