{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T04:07:19Z","timestamp":1789877239747,"version":"4.0.1"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T00:00:00Z","timestamp":1663632000000},"content-version":"vor","delay-in-days":2119,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:p>\n          Background: The management of traumatic brain injury (TBI) aims to maintain the normal cerebral perfusion in spite of the mass lesions that may occur (haematoma, contusion, and oedema). The monitoring of the intracranial pressure (ICP) is a step in that direction. The intra-parenchymal catheters have the lowest incidence of infection compared to intra-ventricular\/subdural catheters with reliable and accurate pressure recordings. The major disadvantage of the intra-parenchymal catheters is the cost, especially in developing nations.\nHypothesis: Resterilized intra-parenchymal strain gauge catheters can be used safely for ICP monitoring without any added risk of meningitis. The reusage of catheters can bring down the costs. Resterilized catheters\/equipment have been approved for usage in cardiac usage, but such study on ICP catheters has not been carried out so far in any part of the world.\nMethodology: A total of 100 consecutive cases of severe TBI receiving ICP monitoring at a level 1 trauma center of a developing nation were prospectively studied (34 cases had fresh catheters, and 66 had resterilized [using ethylene oxide] catheters).\nObservations: The use of reused resterilized catheters was not associated with increased incidence of meningitis or fever (the surrogate marker for infection in this study). Also, there was concordance between the pressure recording of reused catheters and operative finding\/subsequent computed tomography scans. These catheters after sterilization could be reused 2\u20134 times and reliably recorded the ICP (insignificant drift) with no increase in the incidence of meningitis. Conclusions: Usage of resterilized intra-parenchymal ICP catheters is feasible, safe, efficacious, and cost effective and brings down the cost of monitoring significantly.<\/jats:p>","DOI":"10.4103\/1793-5482.165785","type":"journal-article","created":{"date-parts":[[2015,9,18]],"date-time":"2015-09-18T12:52:17Z","timestamp":1442580737000},"page":"416-420","source":"Crossref","is-referenced-by-count":8,"title":["A cost effectiveness based safety and efficacy study of resterilized intra-parenchymal catheter based intracranial pressure monitoring in developing world"],"prefix":"10.1055","volume":"11","author":[{"given":"Deepak","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Jai Prakash Narayan Apex Trauma Centre, AIIMS, New Delhi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajay","family":"Bisht","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Jai Prakash Narayan Apex Trauma Centre, AIIMS, New Delhi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priyam","family":"Batra","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Jai Prakash Narayan Apex Trauma Centre, AIIMS, New Delhi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Purva","family":"Mathur","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Jai Prakash Narayan Apex Trauma Centre, AIIMS, New Delhi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashok","family":"Mahapatra","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Jai Prakash Narayan Apex Trauma Centre, AIIMS, New Delhi"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,9,20]]},"reference":[{"key":"key-10.4103\/1793-5482.165785-1","doi-asserted-by":"crossref","unstructured":"Brain Trauma Foundation; American Association of Neurological Surgeons; Congress of Neurological Surgeons; Joint Section on Neurotrauma and Critical Care, AANS\/CNS, Bratton SL, Chestnut RM, Ghajar J, McConnell Hammond FF, et al. Guidelines for the management of severe traumatic brain injury. VI. Indications for intracranial pressure monitoring. J Neurotrauma 2007;24 Suppl 1:S37-44.","DOI":"10.1089\/neu.2007.9990"},{"key":"key-10.4103\/1793-5482.165785-2","first-page":"1173","volume-title":"Reuse of angioplasty catheters and risk of Creutzfeldt-Jakob disease","author":"Fagih","year":"1999","journal-title":"Am Heart J"},{"key":"key-10.4103\/1793-5482.165785-3","first-page":"S64","volume-title":"Participants in the International Multidisciplinary Consensus Conference on Multimodality Monitoring.Intracranial pressure monitoring: Fundamental considerations and rationale for monitoring","author":"Chesnut","year":"2014","journal-title":"Neurocrit Care"},{"key":"key-10.4103\/1793-5482.165785-4","first-page":"2471","volume-title":"Atrial of intracranial-pressure monitoring in traumatic brain injury","author":"Chesnut","year":"2012","journal-title":"N Engl J Med"},{"key":"key-10.4103\/1793-5482.165785-5","first-page":"1628","volume-title":"Re-use of devices in cardiology.Proceedings from a Policy Conference at the European heart house, 5-6 February, 1998","author":"Ryd\u00e9n","year":"1998","journal-title":"Eur Heart J"},{"key":"key-10.4103\/1793-5482.165785-6","first-page":"381","volume-title":"Infection related to intracranial pressure monitors in adults: Analysis of risk factors and antibiotic prophylaxis","author":"Rebuck","year":"2000","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"key-10.4103\/1793-5482.165785-7","first-page":"419","volume-title":"Ventriculostomy infections: The effect of monitoring duration and catheter exchange in 584 patients","author":"Holloway","year":"1996","journal-title":"J Neurosurg"},{"key":"key-10.4103\/1793-5482.165785-8","first-page":"82","volume-title":"Camino intracranial pressure monitor: Prospective study of accuracy and complications","author":"Mart\u00ednez-Ma\u00f1as","year":"2000","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"key-10.4103\/1793-5482.165785-9","first-page":"1062","volume-title":"Fever in trauma patients: Friend or foe?","author":"Mizushima","year":"2009","journal-title":"J Trauma"},{"key":"key-10.4103\/1793-5482.165785-10","first-page":"228","volume-title":"Evaluating culture practices used to identify infection in patients with brain injury","author":"Hillier","year":"2012","journal-title":"Crit Care Nurs Q"},{"key":"key-10.4103\/1793-5482.165785-11","first-page":"693","volume-title":"Clinical experience with the intraparenchymal intracranial pressure monitoring Codman MicroSensor system","author":"Koskinen","year":"2005","journal-title":"Neurosurgery"},{"key":"key-10.4103\/1793-5482.165785-12","first-page":"424","volume-title":"Duration of intracranial pressure monitoring does not predict daily risk of infectious complications","author":"Winfield","year":"1993","journal-title":"Neurosurgery"},{"key":"key-10.4103\/1793-5482.165785-13","first-page":"430","volume-title":"Reuse of single use medical devices in Canada: Clinical and economic outcomes, legal and ethical issues, and current hospital practice","author":"Hailey","year":"2008","journal-title":"Int J Technol Assess Health Care"},{"key":"key-10.4103\/1793-5482.165785-14","first-page":"167","volume-title":"Arandomized study of the safety and efficacy of reused angioplasty balloon catheters","author":"Zubaid","year":"2001","journal-title":"Indian Heart J"}],"container-title":["Asian Journal of Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.4103\/1793-5482.165785.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T23:13:41Z","timestamp":1663715621000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.4103\/1793-5482.165785"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,12]]},"references-count":14,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2022,9,20]]},"published-print":{"date-parts":[[2016,12]]}},"URL":"https:\/\/doi.org\/10.4103\/1793-5482.165785","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1793-5482","2248-9614"],"issn-type":[{"value":"1793-5482","type":"print"},{"value":"2248-9614","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,12]]}}}