Effects of pneumoperitoneum and Trendelenburg position on intracranial pressure assessed using different non-invasive methods

C Robba, Danilo Cardim, Joseph Donnelly, A Bertuccio, S Bacigaluppi, N Bragazzi, B Cabella, Xiuyun Liu, B Matta, M Lattuada & Marek Czosnyka
$\textbf{Background:}$ The laparoscopic approach is becoming increasingly frequent for many different surgical procedures. However, the combination of pneumoperitoneum and Trendelenburg positioning associated with this approach may increase the patient's risk for elevated intracranial pressure (ICP). Given that the gold standard for the measurement of ICP is invasive, little is known about the effect of these common procedures on ICP. $\textbf{Methods:}$ We prospectively studied 40 patients without any history of cerebral disease who were undergoing laparoscopic...

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