Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Qualitative Evaluation of Intracranial Pressure Slopes in Patients Undergoing Brain Death Protocol

Version 1 : Received: 1 February 2023 / Approved: 2 February 2023 / Online: 2 February 2023 (11:30:01 CET)

A peer-reviewed article of this Preprint also exists.

Ideta, M.M.L.; Oliveira, L.M.; Gonçalves, D.B.; de Oliveira Paschoalino, M.C.; de Carvalho Sousa, N.A.; Della Coletta, M.V.; Paiva, W.; Brasil, S.; de Amorim, R.L.O. Qualitative Evaluation of Intracranial Pressure Slopes in Patients Undergoing Brain Death Protocol. Brain Sci. 2023, 13, 401. Ideta, M.M.L.; Oliveira, L.M.; Gonçalves, D.B.; de Oliveira Paschoalino, M.C.; de Carvalho Sousa, N.A.; Della Coletta, M.V.; Paiva, W.; Brasil, S.; de Amorim, R.L.O. Qualitative Evaluation of Intracranial Pressure Slopes in Patients Undergoing Brain Death Protocol. Brain Sci. 2023, 13, 401.

Abstract

Background: Due to the importance of brain death (BD) diagnostic do not mistake, reliable confirmatory exams should be performed to enhance its security. This study aims to evaluate the intracranial pressure (ICP) pulse morphology behavior in brain-dead patients through a noninvasive monitoring system. Methods: A pilot case-control study was conducted in adults that met the BD national protocol criteria. Quantitative data from the ICP waveforms were extracted and analyzed comparing BD patients and health subjects. Results: Fifteen patients were included. ICP waveforms presented substantial differences amidst BD patients when compared to the control group. Moreover, pulse amplitude and time to peak variables values in the case group were also statistically significant. Conclusions: In this exploratory study, noninvasive ICP waveforms have shown potential as a screening method in patients with suspected brain death. Future studies should be carried out in a larger population.

Keywords

Brain death diagnosis; Intracranial Pressure; Intracranial compliance

Subject

Medicine and Pharmacology, Neuroscience and Neurology

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