Combined monitoring of intracranial pressure and bispectral index in patients with severe craniocerebral trauma post-operatively

Chen, L.; Shi, Tianying; Wei, Min; Zhang, H.Z.; Li, Yuping; She, Lei; Yan, Zhengcun

doi:10.1016/j.clineuro.2016.06.004

Cited by 7 publications

(2 citation statements)

References 18 publications

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“…Moreover, compared to LT, ET can speed up the recovery of neural function and elevate the survival rates of patients after surgery for hypertensive cerebral hemorrhage. 25 However, our study had several limitations. It was a small-sample, single-centre study that has not been verified in other hospitals or agencies.…”

Section: Discussionmentioning

confidence: 89%

The effect of tracheotomy timing on short- term prognosis in hypertensive intracerebral haemorrhage patients after craniectomy: a retrospective analysis of early vs late intervention

Li,

Xia,

Yan

2024

NeuroAsia

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Objective: The present study aimed to compare the clinical outcomes and short-term prognosis in patients with hypertensive intracerebral haemorrhage (HICH) with basal ganglia haematoma volume ≥ 60 mL who underwent early tracheotomy versus late tracheotomy post-craniectomy. Methods: A retrospective analysis was conducted based on the data of 102 patients with basal ganglia haematoma volume ≥ 60 mL after craniectomy between 2016 and 2021. Patients were divided into two groups: early tracheotomy and late tracheotomy. This study evaluated the effect of early tracheotomy on prognosis within 90 days and the impact of tracheotomy timing on overall survival in patients with HICH. Results: Patients in the early tracheotomy group showed a significant reduction in duration of ventilation and intracranial pressure (ICP) at 24 hours (post-tracheotomy) compared to those in the late tracheotomy group. Multivariable logistic regression indicated that late tracheotomy after craniectomy, old age, Glasgow Coma Scale (GCS) ≤ 6, large haematoma volume, and pneumonia after tracheotomy were risk factors for poor prognosis within 90 days in patients with HICH undergoing tracheotomy postoperatively. In terms of the impact of tracheotomy timing on overall survival in patients with HICH, 46 patients died within a follow-up period of 90 days; 19 in the early tracheotomy group (overall survival rate 62.7%), and 27 in the late tracheotomy group (overall survival of 47.1%). Conclusions: Early tracheotomy significantly improved the short-term prognosis of patients with HICH, with a higher overall survival rate compared to late tracheotomy within 90 days of illness.

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Section: Discussionmentioning

confidence: 89%

The effect of tracheotomy timing on short- term prognosis in hypertensive intracerebral haemorrhage patients after craniectomy: a retrospective analysis of early vs late intervention

Li,

Xia,

Yan

2024

NeuroAsia

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“…There are limitations to this study. Previous studies have shown that high intracranial pressure, low BIS, and high severity injury are associated with poor prognosis in patients with severe craniocerebral injury (Dong et al, 2016;Yan et al, 2018). However, invasive intracranial pressure monitoring was performed only in part of enrolled patients, and the association of BIS within transcranial pressure and cerebral perfusion pressure was not evaluated.…”

Section: Limitationsmentioning

confidence: 99%

Evaluation of Prognosis of Coma Patients With Acute Brain Injury by Electroencephalogram Bispectral Index Monitoring

Shi

Shen

et al. 2021

Journal of Trauma Nursing

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Background: The high mortality rate of comatose patients with traumatic brain injury is a prominent public health issue that negatively impacts patients and their families. Objective, reliable tools are needed to guide treatment decisions and prioritize resources. Objective: This study aimed to evaluate the prognostic value of the bispectral index (BIS) in comatose patients with severe brain injury. Methods: This was a retrospective cohort study of 84 patients with severe brain injury and Glasgow Coma Scale (GCS) scores of 8 and less treated from January 2015 to June 2017. Sedatives were withheld at least 24 hr before BIS scoring. The BIS value, GCS scores, and Full Outline of UnResponsiveness (FOUR) were monitored hourly for 48 hr. Based on the Glasgow Outcome Scale (GOS) score, the patients were divided into poor (GOS score: 1–2) and good prognosis groups (GOS score: 3–5). The correlation between BIS and prognosis was analyzed by logistic regression, and the receiver operating characteristic curves were plotted. Results: The mean (SD) of the BIS value: 54.63 (11.76), p = .000; and GCS score: 5.76 (1.87), p = .000, were higher in the good prognosis group than in the poor prognosis group. Lower BIS values and GCS scores were correlated with poorer prognosis. Based on the area under the curve of receiver operating characteristic curves, the optimal diagnostic cutoff value of the BIS was 43.6, and the associated sensitivity and specificity were 85.4% and 74.4%, respectively. Conclusion: Taken together, our study indicates that BIS had good predictive value on prognosis. These findings suggested that BIS could be used to evaluate the severity and prognosis of severe brain injury.

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Trigeminal nerve stimulation successfully awakened an unconscious patient

Fan¹,

Wu²,

Xie

et al. 2019

Brain Stimulation

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Combined monitoring of intracranial pressure and bispectral index in patients with severe craniocerebral trauma post-operatively

Cited by 7 publications

References 18 publications

The effect of tracheotomy timing on short- term prognosis in hypertensive intracerebral haemorrhage patients after craniectomy: a retrospective analysis of early vs late intervention

The effect of tracheotomy timing on short- term prognosis in hypertensive intracerebral haemorrhage patients after craniectomy: a retrospective analysis of early vs late intervention

Evaluation of Prognosis of Coma Patients With Acute Brain Injury by Electroencephalogram Bispectral Index Monitoring

Trigeminal nerve stimulation successfully awakened an unconscious patient

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