Management of intracranial hypertension with and without invasive intracranial pressure monitoring

doi:10.5492/wjccm.v14.i3.105645

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Sep 9, 2025 (publication date) through Jul 25, 2025

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World Journal of Critical Care Medicine

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2220-3141

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Crit Care Med. Sep 9, 2025; 14(3): 105645
Published online Sep 9, 2025. doi: 10.5492/wjccm.v14.i3.105645

Table 8 Altered findings from non-invasive estimates of intracranial pressure

(1) Optic nerve sheath diameter (ONSD)

ONSD > 6 mm (any side)

Increase in ONSD > 0.5 from baseline value (any side)

(2) Noninvasive TCD/TCCD ICP estimation (nICP)

nICP > 20-22 mmHg (any side)

(3) Pulsatility index (PI)

PI > 1.4 with FVd < 20 cm/s (any side)

Increase in PI > 0.5 from baseline value (any side)

(4) Pupillometer derived neurological pupillary index (NPi)

NPi < 3 (any side)

NPi reduction > 1 from baseline value (any side)

Citation: Bianchini L, Matos PMPG, Roepke RML, Besen BAMP. Management of intracranial hypertension with and without invasive intracranial pressure monitoring. World J Crit Care Med 2025; 14(3): 105645
URL: https://www.wjgnet.com/2220-3141/full/v14/i3/105645.htm
DOI: https://dx.doi.org/10.5492/wjccm.v14.i3.105645