Gaps in Intracranial Pressure Monitoring for Traumatic Brain Injury in China: A Clinician Survey.
Only 36% of Chinese neurosurgeons got structured training before first intracranial pressure probe insertion
Gaps in Intracranial Pressure Monitoring for Traumatic Brain Injury in China: A Clinician Survey.
Intracranial pressure (intracranial pressure) monitoring is an essential component of severe traumatic brain injury (sTBI) care.
This study aimed to assess the current utilization of intracranial pressure monitoring among Chinese neurosurgeons, identify barriers to its implementation, and explore potential strategies to promote its broader adoption in the management of sTBI.
We conducted a nationwide, cross-sectional, web-based survey in September 2025, targeting neurosurgeons who managed patients with sTBI.
less than half of neurosurgeons were formally trained before their first probe placement
Intracranial pressure equipment was fully sufficient in 57% of respondents, partially sufficient in 34% of respondents.
Scenario-specific barriers prominently included Diagnosis Related Groups (Diagnosis Related Groups)/Big Data Diagnosis-Intervention Packet (Diagnosis-Intervention Packet) constraints (88%).
Among those favoring probe-based monitoring (88%), ventricular placement was preferred (68%).
Interest in capacity building prioritized proctorship and high-fidelity simulation, with top content needs in standardized operative technique (87%), dynamic data interpretation (71%), and complication.
The implementation of intracranial pressure monitoring in China is low and uneven, not only due to shortages of funds and resources but also due to cross-cutting barriers such as insufficient training.