Neuroanesthesia & neurocritical care
From indication to initiation of invasive intracranial pressure monitoring time differences between neurosurgeons and intensive care physicians: can intracranial hypertension dose be reduced? TIMING-ICP, a multicenter, observational, prospective study
Main finding · T2-T1 time for IPC placement in the ICUResult — go to the resultMean difference 76 minAuthors' conclusion
Invasive ICP monitoring performed with IPCs in ICU begins earlier when performed by intensivists rather than neurosurgeons.
Study context
- Population
- Patients with indication for invasive intracranial pressure (ICP) monitoring (intraparenchymal catheters (IPCs) or external ventricular drains (EVDs)), in intensive care unit (ICU) or ORincluded in final analysis
- Participants
- 112 patients
- Exposure
- ICP monitoring placement by intensivists vs neurosurgeons
- Intensivistn = 39
- Neurosurgeonn = 73reference
- Outcome
- Time from indication (T1) to initiation of invasive ICP monitoring (T2, skin incision)
Main finding
T2-T1 time for IPC placement in the ICU
Mean difference
76 min
P = 0.0021
By group
As reported in the abstract
Observational data: associations, not effects.
Further findings
Timing ICU vs OR (neurosurgeon placement)
- No statistically significant differences in timing between the ICU and the OR
Original publication
From indication to initiation of invasive intracranial pressure monitoring time differences between neurosurgeons and intensive care physicians: can intracranial hypertension dose be reduced? TIMING-ICP, a multicenter, observational, prospective study. Crit Care. Published 13 June 2025. doi:10. 1186/ s13054-025-05384-w
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