Challenges of Cerebral Perfusion Pressure Measurement

Sarah L. Livesay, Molly M. McNett, Monica Keller, Dai Wai M. Olson

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Monitoring cerebral perfusion pressure (CPP) is recommended by a number of clinical practice guidelines and is a routine function performed by critical care neuroscience nurses. However, several studies highlight theoretical and practice variations in the measurement of CPP regarding the location of the arterial pressure transducer during measurement. Agreement on the technique and process for obtaining valid measurements is lacking. This article identifies the challenges associated with CPP measurement and highlights opportunities for standardizing CPP measurement to improve consistency in care and findings reported in the research literature. The challenges associated with practice variations impact multiple nursing domains, including the environment, patient treatment, and team communication; all ultimately impacting nursing workflow. The practice variation and impact on nursing workflow have significant implications for further research, electronic health record development, and refining monitoring technology.

Original languageEnglish (US)
Pages (from-to)372-376
Number of pages5
JournalJournal of Neuroscience Nursing
Volume49
Issue number6
DOIs
StatePublished - Dec 1 2017

Keywords

  • cerebral perfusion pressure
  • intracranial pressure monitoring
  • measurement
  • monitoring
  • neuroscience nursing

ASJC Scopus subject areas

  • Surgery
  • Endocrine and Autonomic Systems
  • Clinical Neurology
  • Medical–Surgical

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