Though there is no Class I evidence for the benefit of intracranial pressure (ICP) monitoring, the bulk of the published literature supports its use when indicated. This review deals with the pathophysiology of raised ICP, evidence for and against monitoring, and basic guidelines for monitoring. It is unfortunate that ICP monitoring is not routinely performed in most of the centres in India due to the popular perception of it being risky, technologically complex and expensive. This article is an attempt to provide all the essential information on this complex topic without going into excessive detail, in the hope that ICP monitoring will be more widely used in India.
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