- Clear evidence-based indications in head injury
- Evidence lacking in other conditions and are often center or clinician specific
- Indicated when the benefits of monitoring outweigh the risks of insertion or infection:
Trauma (according to the Brain Trauma Foundation)
- All 'salvageable' patients with severe TBI (GCS 3-8) with abnormal CT findings
- Patients with severe TBI (GCS 3-8) with normal CT findings and 2 of:
- Age >40
- Motor posturing
- Systolic BP <90
Non-Trauma
Any non-traumatic insult complicated by raise ICP:
- Intracerebral haemorrhage
- Subarachnoid haemorrhage
- Hydrocephalus
- Malignant MCA syndrome
- Hepatic encephalopathy
- Cerebral oedem
- Intracranial infection