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Interpretation of ICP pulse waves to determine intracerebral compliance.

Recently, several authors have identified the need for monitoring cerebral compliance in addition to intracranial pressure (ICP) when managing patients with neurologic dysfunction. Analysis of the ICP pulse wave is one method for determining compliance. The ICP pulse wave, observed on a continuous real time pressure monitor display corresponding to each heart beat has three components analogous to the components of the arterial pulse wave. Analysis allows determination of intracerebral compliance. Implications for nursing care and suggestions for research based on ICP pulse wave analysis will also be discussed.