ICP monitoring- Assists in the detection of increasing ICP and compromised

1. dupdegraff@lpch.org ICP Monitoring Quick Reference ICP monitoring-Assists in the detection of increasing ICP and compromised CPP before changes seen in the neurologic exam. Also evaluates the effectiveness of treatment. The Caminois a fiber optic ICP system uses digital pressure monitor. The transducer is located at the tip of the catheter. Calibration is done by the manufacturer of the catheter. It is a closed system with no air fluid interface. The Ventriculostomy-Is a fluid coupled system much like hemodynamic monitoring systems (except no continuous infusion to keep open). Transducer is external and must be kept at a fixed reference point (ear) Advantage: Can drain CSF. Disadvantage: CSF drainage and ICP measurement can not be done at the same time. .

2. HOW TO: • Obtain “Integra- CAMINO” digital pressure monitor from • clean equipment room. • Place on IV pole • Plug into wall outlet. • Attach the “ white adapter cable” from the back of the • Camino digital pressure monitor To the “bedside pressure • module”. • Set “bedside pressure” SCALE to “0-30 mmhg” • (May need to be adjusted if ICP Exceeds 30 mmhg) • Turn on Power “Start/Stop” button • The display will indicate “888”= on AC • Power “8” = Battery power. • “CCC” means check connection • (MORE DETAIL to Troubleshooting: PICU PORTAL 3rd page) • MD opens the Camino fiber-optic catheter • MD hands bedside nurse the “PreAmp” catheter connector • RN plugs the “PreAmp” catheter connector to the “black • cable” coming from the right side of the Camino digital • pressure monitor • The system will self check indicated by 3 “blinking dashes” • If the Camino display does not say “0” • MD hands “Zero adjustment tool” from catheter package • to RN • RN uses tool to turn the adjustment on the bottom side of • the “PreAmp connector”. • Once “Zeroed” It is not necessary to Zero again due to the • closed system