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ICP monitoring in paediatric traumatic brain injury
- Dr Ramzi HamzehConsultant in Paediatric Intensive Care at the Royal London Hospital
Key points
- A single-centre review covered 82 children with severe traumatic brain injury admitted to paediatric intensive care between 2016 and 2025.
- Only 30 of the 66 ventilated patients were monitored with an ICP bolt, and ventilated patients can be monitored safely without one.
- The review was single-centre and retrospective, so further multicentre analysis is needed on which patients should get ICP monitoring.
Dr Ramzi Hamzeh, Consultant in Paediatric Intensive Care at the Royal London Hospital, provides insights into a retrospective single-centre review of severe traumatic brain injury in children. He describes how the team examined admissions and the use of intracranial pressure monitoring over a ten-year period. The interview raises questions about which patients receive monitoring, how decisions are made and what can be learned from outcomes in the local cohort. Dr Hamzeh emphasises the limitations of a single-centre retrospective analysis and the need for further multicentre research to better understand patient selection and monitoring strategies in paediatric intensive care.
This interview took place at the PCCS Annual Scientific Meeting 2026 in London.
Read the transcript
Automatic transcript, lightly edited for readability. It may contain errors, so check it against the video before quoting.
Hi, I'm Ramzi, one of the consultants at Royal London paediatric critical care. I'm delighted to share our recent centre analysis where we looked at the data for our patients with traumatic brain injury.
So we looked at the data for almost a decade, between 2016 and 2025, and we identified 82 patients who were admitted to our paediatric ICU with severe traumatic brain injury. 66 of these patients were ventilated and only 30 of these patients were monitored with the ICP bolt. These patients only comprised like a 36% of our overall cohort.
So this analysis for our data showed that patients admitted to PICU ventilated can be monitored without ICP bolt safely, and only 2% of these patients required further intervention and neurosurgical intervention even if they were not ICP bolt monitored.
So definitely this was just a single centre and retrospective analysis, and this will only open more questions of how the selection should be for these patients, and which patients should get ICP monitor, and is it safe to monitor these patients in paediatric ICU without inserting an ICP monitoring. This will only open more questions for further multicentre analysis, to be done hopefully in the future. Thank you.
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Cite this video
Dr Ramzi Hamzeh. “ICP monitoring in paediatric traumatic brain injury.” The Paediatric Video Journal, 7 November 2026. https://paediatricvj.com/videos/icp-monitoring-in-paediatric-traumatic-brain-injury-hamzeh/
This interview is educational content intended for healthcare professionals and is not medical advice. Views expressed are those of the speaker. © The Paediatric Video Journal. All rights reserved.