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首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >Re: Intracranial pressure monitors in traumatic brain injury: a systematic review. Can J Neurol Sci.2013;40:433-434.
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Re: Intracranial pressure monitors in traumatic brain injury: a systematic review. Can J Neurol Sci.2013;40:433-434.

机译：回复：颅脑外伤患者颅内压监测仪：系统评价。 Can J神经科学.2013; 40：433-434。

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摘要

We thank Dr. Figaji for his thoughtful commentary1 on our recent systematic review addressing intracranial pressure monitors in traumatic brain injury (TBI). We completely concur with his eloquent summary of the limitations of the literature. Although Dr. Figaji takes slight issue with our contention that in order to improve outcome, intracranial pressure (ICP) monitoring "... must be acted upon in a standardized and reproducible manner", we feel our statement is in fact congruous with his central thesis. This is illustrated nicely in his discussion: elevated TCP is simply a number which may represent various pathophysiologic mechanisms which themselves may have very different treatment approaches. Intracranial pressure monitoring may be considered analogous to the pulmonary artery catheter (PAC) which generates objective physiologic information which the clinician must then interpret to both diagnose the problem and prescribe a remedy. However, the "right" response is predicated on correct interpretation by clinicians, who perform poorly in this regard3. Previous trials on PAC use have been criticized for both lack of training of study personnel on variable interpretation and lack of treatment algorithms in response to PAC data .
机译：我们感谢Figaji博士对我们最近针对创伤性脑损伤（TBI）中颅内压监测器的系统评价发表的有思想的评论。我们完全同意他雄辩地总结了文学的局限性。尽管Figaji博士对我们的论点略有质疑，即为了改善结果，颅内压（ICP）监测“必须以标准化且可重复的方式进行”，但我们认为我们的陈述实际上与他的中心观点相吻合。论文。在他的讨论中很好地说明了这一点：升高的TCP只是一个数字，可以代表各种病理生理机制，而它们自身可能具有非常不同的治疗方法。颅内压监测可被视为类似于肺动脉导管（PAC），后者可产生客观的生理信息，临床医生随后必须解释该客观生理信息以诊断问题并开出补救措施。但是，“正确”的回答是基于临床医生的正确解释，他们在这方面表现不佳3。由于缺乏对研究人员进行变量解释的培训以及缺乏对PAC数据做出反应的治疗算法，以前的PAC使用试验受到批评。

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