Hemodynamic and intracranial pressure changes in children with severe traumatic brain injury

Mohamed, Ahmed Abdalla; Ibrahim, Wael; Safan, Tamer Fayez

doi:10.1016/j.egja.2011.06.006

Cited by 5 publications

(3 citation statements)

References 16 publications

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“…Mean ICP value was 26.33±16.73 mmHg, with a minimum mean value of 12.83 mmHg and a maximum mean value of 55.33 mmHg. Our patients received an optimised therapeutic management and CPP values being in the range recommended by Brain Trauma Foundation (50-70 mmHg) (9,(18)(19)(20)(21).…”

Section: Discussionmentioning

confidence: 99%

Intracranial Pressure (ICP) Monitoring as Part of Multimodal Monitoring Management of Critical Polytrauma Patients. Correlation Between Optimized Intensive Therapy According to ICP Parameters and Clinical Picture

Luca¹,

Rogobete²,

Bedreag³

et al. 2015

Turk J Anaesth Reanim

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Amaç: Travmalı hastada, çok sayıda ağır yaralanma veya sekonder komplikasyonlar nedeniyle karmaşık bir tedavi yaklaşımı gerekir. Travmalı hastalarda bulunan en önemli yaralanma, ölüm üzerinde en büyük etkiye sahip olan kafa travmasıdır. Ağır travmatik kafa yaralanmasında intrakranial basınç (İKB) takibi gereklidir, çünkü İKB değerlerine ve serebral perfüzyon basıncına (SPB) dayalı tedaviyi optimize etmektedir.Yöntemler: Ocak 2014 ve Aralık 2014 arasında Temeşvar, Romanya'da "Pius Brinzeu" Acil Şehir Hastanesinin Politravmatoloji Kliniğinde, "Casa Austria" yoğun bakım ünitesine (YBÜ) başvuran toplam 64 hastadan, sadece İKB takibi yapılan hastalar (n=10) analiz edildi. Çalışma popülasyonu travmadan İKB takibinin kurulumuna kadar geçen zamana bağlı olarak (<18 saat, 19-24 saat,>24 saat) çeşitli kategorilere ayrıldı. Ayrıca İKB takibinden yararlanan ve yararlanmayan kafa travmalı hastalar arasında YBÜ'nde yatış günü sayıları ve mortalite açısından karşılaştırma yapıldı.Bulgular: Bulgular İKB takibinin, terapötik etkiyi artırma ihtimali nedeniyle YBÜ'de yatış günleri üzerine olumlu etkisini göster-mektedir. İKB takibinden yararlanan hastalarda İKB takibi olmayanlara kıyasla 1,93 gün daha az yatış mevcuttu.Sonuç: İKB takibi ve İKB ve SPB'ye göre tedavinin optimize edilmesi sağkalım oranı üzerinde önemli bir etkiye sahiptir. İKB takibi güncel kılavuzlara göre kafa travması yaralanması olan tüm hastalarda gereklidir. Kafa yaralanması olan travmalı hastanın tedavisinde başlıca terapötik hedef ilişkili yan etkilerin tahrip edici etkilerini en aza indirmektir.Anahtar kelimeler: İntrakranial basınç, serebral perfüzyon basın-cı, serebral kan akımı, kafa yaralanması, travmatik beyin hasarı, çoklu travmalı hastalar Objective: Trauma patient requires a complex therapeutic management because of multiple severe injuries or secondary complications. The most significant injury found in patients with trauma is head injury, which has the greatest impact on mortality. Intracranial pressure (ICP) monitoring is required in severe traumatic head injury because it optimises treatment based on ICP values and cerebral perfusion pressure (CPP).Methods: From a total of 64 patients admitted in the intensive care unit (ICU) 'Casa Austria', from the Polytraumatology Clinic of the Emergency County Hospital "Pius Brinzeu" Timisoara, Romania, between January 2014 and December 2014; only patients who underwent ICP monitoring (n=10) were analysed. The study population was divided into several categories depending on the time passed since trauma to the time of installation of ICP monitoring (<18 h, 19-24 h and >24 h). Comparisons were made in terms of the number of days admitted in the ICU and mortality between patients with head injury who benefited and those who did not benefit from ICP monitoring. Results:The results show the positive influence of ICP monitoring on the number of admission days in ICU because of the possibility that the number of admission days to augment therapeutic effects in patients who benefited from ICP monitoring reduces by 1...

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Section: Discussionmentioning

confidence: 99%

Intracranial Pressure (ICP) Monitoring as Part of Multimodal Monitoring Management of Critical Polytrauma Patients. Correlation Between Optimized Intensive Therapy According to ICP Parameters and Clinical Picture

Luca¹,

Rogobete²,

Bedreag³

et al. 2015

Turk J Anaesth Reanim

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“…Cerca de un tercio de los pacientes con lesión craneal difusa y la mitad de aquellos que presentan masas intracraneales tienen la PIC elevada 12 . La PIC típica del adulto varía en un rango de 5 a 15 mmHg, y los valores pediátricos entre 0 y 10 mmHg 13 . La elevación persistente de la PIC se ha asociado con un pobre pronóstico y la mortalidad se relaciona directamente con el grado y la duración de la PIC elevada 14 .…”

Section: Hipertensión Intracranealunclassified

Hipertensión intracraneal traumática refractaria: el papel de la craniectomía descompresiva

Moscote-Salazar¹,

Alvis-Miranda²,

Ramos-Villegas³

et al. 2019

CIRU

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El trauma craneoencefálico, según la Organización Mundial de la salud, se estima que para el año 2020 será la tercera causa de morbimortalidad en el mundo. La hipertensión intracraneal refractaria al manejo médico es la causante de la mayor mortalidad en esta población de pacientes. Existen diversas medidas para el control de la hipertensión intracraneal, entre ellas las quirúrgicas. La craniectomía descompresiva ha sido utilizada sistemáticamente para tratar la hipertensión intracraneal secundaria al infarto cerebral, la hemorragia subaracnoidea, la hemorragia intracerebral y el trauma. Se hace una revisión de la literatura para describir los mecanismos fisiopatológicos de la lesión cerebral traumática, así como también los tipos y las indicaciones de este procedimiento.

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“…Close than 70% of brain injured patients will present ICH [41][42][43][44]. TBI is the most common cause of intracranial hypertension [45].…”

Section: Intracranial Hypertension (Ich)mentioning

confidence: 99%

Decompressive craniectomy in traumatic brain injury: Quo Vadis?

et al. 2014

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Intracranial hypertension is the leading cause of mortality in patients with cranial injury. Currently the traumatic brain injury is a public health problem worldwide. Decompressive craniectomy emerges as a treatment strategy for patients with refractory intracranial hypertension. The completed surgery requires careful surgical technique and exquisite. We present a review of the literature about the technique.

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Hemodynamic and intracranial pressure changes in children with severe traumatic brain injury

Cited by 5 publications

References 16 publications

Intracranial Pressure (ICP) Monitoring as Part of Multimodal Monitoring Management of Critical Polytrauma Patients. Correlation Between Optimized Intensive Therapy According to ICP Parameters and Clinical Picture

Intracranial Pressure (ICP) Monitoring as Part of Multimodal Monitoring Management of Critical Polytrauma Patients. Correlation Between Optimized Intensive Therapy According to ICP Parameters and Clinical Picture

Hipertensión intracraneal traumática refractaria: el papel de la craniectomía descompresiva

Decompressive craniectomy in traumatic brain injury: Quo Vadis?

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