Evidence map›Paper›PMID 41927988›Full record

ArticleNeurocritical care2026

Utilization of Noninvasive Intracranial Pressure Monitoring in Patients with Traumatic Brain Injury Treated in Low-Resource Settings: The Intrigo Study.

Edoardo Picetti, Fabio Silvio Taccone, Amos O Adeleye, Sérgio Brasil, Daniel A Godoy, Hemanshu Prabhakar, Andres M Rubiano, Gentle S Shrestha, Abenezer Tirsit, Walter Videtta and 1 more

Abstract readMulticenter Study
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In one paragraph

Article in Neurocritical care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Edoardo PicettiDepartment of Anesthesia and Intensive Care, Parma University Hospital, Parma, Italy. edoardopicetti@hotmail.com.ORCID http://orcid.org/0000-0003-0316-1451
Fabio Silvio TacconeDepartment of Intensive Care, Hôpital Universitaire de Bruxelles (HUB), Université Libre de Bruxelles (ULB), Brussels, Belgium.
Amos O AdeleyeDepartment of Neurological Surgery, University College Hospital, Ibadan, Nigeria.
Sérgio BrasilDivision of Neurosurgery, Department of Neurology, School of Medicine, University of São Paulo, São Paulo, Brazil.
Daniel A GodoyNeuroscience Institute, Universidad El Bosque, Bogota, Colombia.
Hemanshu PrabhakarDepartment of Neuroanaesthesiology and Neurocritical Care, All India Institute of Medical Sciences, New Delhi, India.
Andres M RubianoNeuroscience Institute, Universidad El Bosque, Bogota, Colombia.
Gentle S ShresthaInstitute of Medicine, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.
Abenezer TirsitNeurosurgery Division, Department of Surgery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Walter VidettaDepartment of Intensive Care, Posadas Hospital, Buenos Aires, Argentina.
Chiara RobbaIRCCS, Policlínico San Martino, Genoa, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInvasive intracranial pressure (ICP) monitoring is not universally available in low-resource settings, mainly owing to high costs. In this scenario, noninvasive ICP (nICP) estimation could be integrated in therapeutic protocols. The objective of this international survey was to describe the utilization of nICP monitoring in this setting.

methodsThe survey comprised 23 items. Target respondents were doctors treating patients with severe traumatic brain injury (TBI) in low-resource settings without the availability of invasive ICP monitoring.

resultsIn total, 126 physicians from 114 centers among 21 countries worldwide responded. The main findings of this study were: (a) a predominant use of optic nerve sheath diameter (ONSD) as nICP assessment tool; (b) the utilization of at least two methods for nICP estimation in approximately half of the cases; and (c) the absence of specific protocol for nICP monitoring. We also reported a certain degree of variability regarding the parameters suggestive of intracranial hypertension for each of the methods used.

conclusionsBrain ultrasounds, particularly ONSD assessment, are the most frequently utilized tools for nICP estimation in patients with TBI managed in low-resource settings worldwide. Educational efforts linked with protocols development could be a step forward to improve the care of TBI in resource-limited settings, but further studies in this field are necessary.

Indexed as

Brain Injuries, TraumaticIntracranial HypertensionIntracranial PressureNeurophysiological MonitoringOptic NervePractice Patterns, Physicians'Health Care SurveysHumansMonitoring, PhysiologicResource-Limited SettingsIntracranial pressureLow-resource settingMonitoringNoninvasiveTraumatic brain injury

Identifiers

PMID41927988

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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.