What is the best digital technology for nursing intervention in monitoring intracranial pressure in the ICU? – Sistematized Review of Literature

Ketlyn Bouzan Nascimento, Isabel F Cruz


Objective: To analyze the technologies that are considered viable alternatives for monitoring ICP in intensive care units (ICU) and the importance of training nurses to use theseresources. Methods: Descriptive and exploratory study and bibliographical research. Results: In this study, 10 articles were chosen for the analysis of the data obtained, these were selected for meeting the inclusion criteria and for presenting relevance to the proposed theme for the discussion and presentation of the contents obtained where technologies are analyzed in relation to monitoring of the PIC in intensive care units (ICU). Conclusion: The study concludes that the monitoring of intracranial pressure requires efforts from both the nurse and the team, where the nurse must assess intracranial hypertension, recognizing it through the help of technologies to ensure that the necessary interventions are initiated and that these are in accordance with the patient's situation.


Intracranial Pressure (PIC); Intensive care unit; Health technologies.

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Unnerbäck, Mårten; Bloomfield, Eric L; Söderström, Sven; Reinstrup, Peter. [et.al]. The intracranial pressure curve correlates to the pulsatile component of cerebral blood flow. 2018. Disponível em: https://pesquisa.bvsalud.org/portal/resource/pt/mdl-29549499. Acesso em: 05 jun. 2021.

Carvalho LR, Domingues NA, Zem-Mascarenhas SH. Desenvolvimento De Tecnologia Digital Educacional Sobre Monitoração Da Pressão Intracraniana Minimamente Invasiva. 2017. Disponível em: https://www.scielo.br/j/tce/a/8HC59WXYMP84q4fFMBrWMHC/?lang=pt. Acesso em: 05 jun. 2021.

Lawley JS, Petersen LG, Howden EJ, Sarma S, Cornwell WK, Zhang R, Whitworth LA, Williams MA, Levine BD. 2017. Effect of gravity and microgravity on intracranial pressure. J Physiol. 2017. Disponível em: https://pubmed.ncbi.nlm.nih.gov/28092926/. Acesso em: 05 jun. 2021.

Cardim D, Robba C, Bohdanowicz M, Donnelly J, Cabella B, Liu X, Cabeleira M, Smielewski P, Schmidt B, Czosnyka M. Non-invasive Monitoring of Intracranial Pressure Using Transcranial Doppler Ultrasonography: Is It Possible? Neurocrit Care. 2016. Disponível em: https://pubmed.ncbi.nlm.nih.gov/26940914/. Acesso em: 05 jun. 2021.

Cardim D, Schmidt B, Robba C, Donnelly J, Puppo C, Czosnyka M, Smielewski P. Transcranial Doppler Monitoring of Intracranial Pressure Plateau Waves. Neurocrit Care. 2017. Disponível em: https://pubmed.ncbi.nlm.nih.gov/28000131/. Acesso em: 05 jun. 2021.

Vinje V, Eklund A, Mardal KA, Rognes ME, Støverud KH. Intracranial pressure elevation alters CSF clearance pathways. Fluids Barriers CNS. 2020. Disponível em: https://pubmed.ncbi.nlm.nih.gov/32299464/. Acesso em: 05 jun. 2021.

Chen LM, Wang LJ, Hu Y, Jiang XH, Wang YZ, Xing YQ. Ultrasonic measurement of optic nerve sheath diameter: a non-invasive surrogate approach for dynamic, real-time evaluation of intracranial pressure. Br J Ophthalmol. 2019. Disponível em: https://pubmed.ncbi.nlm.nih.gov/30361274/ Acesso em: 05 jun. 2021.

De Almeida, Carolina Marques; Pollo, Camila Fernandes; Meneguin, Silmara. Nursing Interventions for Patients with Intracranial Hypertension: Integrative Literature Review. Aquichan, Bogotá, v. 19, n. 4, e1949, Dec. 2019. Disponível em:

. Acesso em: 05 jun. 2021.

Filho, Venâncio Pereira Dantas. Aspectos técnicos da monitorização da pressão intracraniana pelo método subaracnóideo no traumatismo craniencefálico grave. 2001 Disponível em: https://www.scielo.br/j/anp/a/4PJLXgsR9CjQFpGTv4CxPCS/?lang=pt. Acesso em: 05 jun. 2021.

Alcântara TFDL, Marques IR. Avanços na Monitorização Neurológica em Ambientes Intensivos: implicações para a assistência de enfermagem. Rev Bras Enferm. Brasília [periódico na internet] 2009. Disponível em: https://www.scielo.br/j/reben/a/njjTfJsYKrPBxtWSssjT8yL/?lang=pt. Acesso em: 05 jun. 2021.

URN: http://www.jsncare.uff.br/index.php/jsncareurn:nbn:de:1983-4152jsncare.v14i1.34788

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