Hyperventilation therapy for acute traumatic brain injury

Abstract

Hyperventilation therapy for acute traumatic brain injury.

Acute Traumatic Brain Injury: Is Current Management Evidence Based? An Empirical Analysis of Systematic Reviews

“…In addition, by searching the CBM, and consulting relevant experts, we identified six other reviews. In total, we included 44 systematic reviews, of which there were 21 (47.7%) Cochrane reviews 22 –42 and 23 (52.3%) published in peer-reviewed journals (“regular journal reviews”) 43 –65…”

“…When we stratified them in terms of publication source, however, we found that the estimated OQAQ score for Cochrane reviews was significantly greater than that of regular journal reviews: seven (IQR 5.5-7) versus four (IQR 2-7) ( p = 0.0003). Of 29 (65.9%) good quality systematic reviews (i.e., scored ‡ 5, indicating minor or minimal flaws), 22,[24][25][26][27][28][29][30][31][32][33][34][36][37][38][39][40][41][42][43]46,47,51,54,57,59,62,64,65 there were 19 of 21 Cochrane reviews versus 10 of 23 journal reviews ( p = 0.0014).…”

Acute Traumatic Brain Injury: Is Current Management Evidence Based? An Empirical Analysis of Systematic Reviews

“…In addition, by searching the CBM, and consulting relevant experts, we identified six other reviews. In total, we included 44 systematic reviews, of which there were 21 (47.7%) Cochrane reviews 22 –42 and 23 (52.3%) published in peer-reviewed journals (“regular journal reviews”) 43 –65…”

“…When we stratified them in terms of publication source, however, we found that the estimated OQAQ score for Cochrane reviews was significantly greater than that of regular journal reviews: seven (IQR 5.5-7) versus four (IQR 2-7) ( p = 0.0003). Of 29 (65.9%) good quality systematic reviews (i.e., scored ‡ 5, indicating minor or minimal flaws), 22,[24][25][26][27][28][29][30][31][32][33][34][36][37][38][39][40][41][42][43]46,47,51,54,57,59,62,64,65 there were 19 of 21 Cochrane reviews versus 10 of 23 journal reviews ( p = 0.0014).…”

Nursing management of adults with severe traumatic brain injury: A narrative review

“…[ 17 ] Hyperventilation therapy can reduce ICP,[ 11 ] but there is no strong evidence which indicates whether this improves outcomes. [ 19 ] Correction of hypotension[ 20 ] and hypoxia helps in improving patient outcomes. [ 16 ]…”

Escalate and De-Escalate Therapies for Intracranial Pressure Control in Traumatic Brain Injury

“…Hence, considering patients with HICP and brain hypoxic damage, the SIBICC consensus does not suggest hyperventilation ( 8 , 9 ). As early as 1997, a Cochrane review found that data were inadequate to conclude whether hyperventilation could be considered detrimental or beneficial for the treatment of acute TBI; in 2008, an updated review reached the same deduction ( 97 ). Notwithstanding these conclusions, hyperventilation, is effective for HICP therapy in non-hypoxic brain.…”

Acute Traumatic Brain Injury: Is Current Management Evidence Based? An Empirical Analysis of Systematic Reviews

“…In addition, by searching the CBM, and consulting relevant experts, we identified six other reviews. In total, we included 44 systematic reviews, of which there were 21 (47.7%) Cochrane reviews 22 –42 and 23 (52.3%) published in peer-reviewed journals (“regular journal reviews”) 43 –65…”

“…When we stratified them in terms of publication source, however, we found that the estimated OQAQ score for Cochrane reviews was significantly greater than that of regular journal reviews: seven (IQR 5.5-7) versus four (IQR 2-7) ( p = 0.0003). Of 29 (65.9%) good quality systematic reviews (i.e., scored ‡ 5, indicating minor or minimal flaws), 22,[24][25][26][27][28][29][30][31][32][33][34][36][37][38][39][40][41][42][43]46,47,51,54,57,59,62,64,65 there were 19 of 21 Cochrane reviews versus 10 of 23 journal reviews ( p = 0.0014).…”

Nursing management of adults with severe traumatic brain injury: A narrative review

“…[ 17 ] Hyperventilation therapy can reduce ICP,[ 11 ] but there is no strong evidence which indicates whether this improves outcomes. [ 19 ] Correction of hypotension[ 20 ] and hypoxia helps in improving patient outcomes. [ 16 ]…”

Escalate and De-Escalate Therapies for Intracranial Pressure Control in Traumatic Brain Injury

“…Hence, considering patients with HICP and brain hypoxic damage, the SIBICC consensus does not suggest hyperventilation ( 8 , 9 ). As early as 1997, a Cochrane review found that data were inadequate to conclude whether hyperventilation could be considered detrimental or beneficial for the treatment of acute TBI; in 2008, an updated review reached the same deduction ( 97 ). Notwithstanding these conclusions, hyperventilation, is effective for HICP therapy in non-hypoxic brain.…”

Acute Traumatic Brain Injury: Is Current Management Evidence Based? An Empirical Analysis of Systematic Reviews

“…In addition, by searching the CBM, and consulting relevant experts, we identified six other reviews. In total, we included 44 systematic reviews, of which there were 21 (47.7%) Cochrane reviews 22 –42 and 23 (52.3%) published in peer-reviewed journals (“regular journal reviews”) 43 –65…”

“…When we stratified them in terms of publication source, however, we found that the estimated OQAQ score for Cochrane reviews was significantly greater than that of regular journal reviews: seven (IQR 5.5-7) versus four (IQR 2-7) ( p = 0.0003). Of 29 (65.9%) good quality systematic reviews (i.e., scored ‡ 5, indicating minor or minimal flaws), 22,[24][25][26][27][28][29][30][31][32][33][34][36][37][38][39][40][41][42][43]46,47,51,54,57,59,62,64,65 there were 19 of 21 Cochrane reviews versus 10 of 23 journal reviews ( p = 0.0014).…”

Nursing management of adults with severe traumatic brain injury: A narrative review

“…[ 17 ] Hyperventilation therapy can reduce ICP,[ 11 ] but there is no strong evidence which indicates whether this improves outcomes. [ 19 ] Correction of hypotension[ 20 ] and hypoxia helps in improving patient outcomes. [ 16 ]…”

Escalate and De-Escalate Therapies for Intracranial Pressure Control in Traumatic Brain Injury

“…Hence, considering patients with HICP and brain hypoxic damage, the SIBICC consensus does not suggest hyperventilation ( 8 , 9 ). As early as 1997, a Cochrane review found that data were inadequate to conclude whether hyperventilation could be considered detrimental or beneficial for the treatment of acute TBI; in 2008, an updated review reached the same deduction ( 97 ). Notwithstanding these conclusions, hyperventilation, is effective for HICP therapy in non-hypoxic brain.…”