Evidence map›Paper›PMID 36718229›Full record

ArticleMedical devices (Auckland, N.Z.)2023

Assessment of a Non-Invasive Brain Pulse Monitor to Measure Intra-Cranial Pressure Following Acute Brain Injury.

Barry Dixon, Jessica M Sharkey, Elliot J Teo, Sally A Grace, Jacqui S Savage, Andrew Udy, Paul Smith, Jack Hellerstedt, John D Santamaria

Open access · goldAbstract read
In one paragraph

Article in Medical devices (Auckland, N.Z.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 20 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Barry DixonCyban Pty Ltd, Melbourne, VIC, Australia.
Jessica M SharkeyCyban Pty Ltd, Melbourne, VIC, Australia.
Elliot J TeoCyban Pty Ltd, Melbourne, VIC, Australia.ORCID 0000-0002-8491-9393
Sally A GraceCyban Pty Ltd, Melbourne, VIC, Australia.
Jacqui S SavageCyban Pty Ltd, Melbourne, VIC, Australia.ORCID 0000-0003-3188-5190
Andrew UdyDepartment of Critical Care Medicine, The Alfred Hospital, Melbourne, Australia.
Paul SmithDepartment of Neurosurgery, St Vincent's Hospital, Melbourne, Australia.
Jack HellerstedtCyban Pty Ltd, Melbourne, VIC, Australia.ORCID 0000-0003-2282-8223
John D SantamariaDepartment of Critical Care Medicine, St Vincent's Hospital, Melbourne, Australia.
St Vincent's Hospital Melbourne · AUThe University of Melbourne · AUThe Alfred Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Intracranial pressure (ICP) monitoring requires placing a hole in the skull through which an invasive pressure monitor is inserted into the brain. This approach has risks for the patient and is expensive. We have developed a non-invasive brain pulse monitor that uses red light to detect a photoplethysmographic (PPG) signal arising from the blood vessels on the brain's cortical surface. The brain PPG and the invasive ICP waveform share morphological features which may allow measurement of the intracranial pressure. Methods: We enrolled critically ill patients with an acute brain injury with invasive ICP monitoring to assess the new monitor. A total of 24 simultaneous invasive ICP and brain pulse monitor PPG measurements were undertaken in 12 patients over a range of ICP levels. Results: The waveform morphologies were similar for the invasive ICP and brain pulse monitor PPG approach. Both methods demonstrated a progressive increase in the amplitude of P2 relative to P1 with increasing ICP levels. An automated algorithm was developed to assess the PPG morphological features in relation to the ICP level. A correlation was demonstrated between the brain pulse waveform morphology and ICP levels, R Conclusion: The brain pulse monitor's PPG waveform demonstrated morphological features were similar to the invasive ICP waveform over a range of ICP levels, these features may provide a method to measure ICP levels. Trial Registration: ACTRN12620000828921.

Indexed as

acute brain injuryintracranial pressuremonitoringnon-invasivephotoplethysmography

Identifiers

PMID36718229
PMCPMC9883992
OpenAlexW4318668104

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.