• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>British journal of neurosurgery >Attitudes to intracranial pressure monitoring of traumatic intracerebral haemorrhage
【24h】

Attitudes to intracranial pressure monitoring of traumatic intracerebral haemorrhage

机译：颅内压监测创伤性脑出血的态度

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Introduction. Recent research has been equivocal regarding the usefulness of intracranial pressure (ICP) monitoring for traumatic intracerebral haemorrhage (ICH). We aimed to investigate attitudes of clinicians from as wide an international audience as possible. Materials and methods. A SurveyMonkey? questionnaire was distributed to individuals, including members of the Society of British Neurological Surgeons, the European Brain Injury Consortium, the neurotrauma committee of the Euroacademia Multidisciplinaria Neurotraumatologica and the World Federation of Neurosurgical Societies. Results. N = 98 completed the survey (surgeons n = 86) from at least 25 different countries. ICP was routinely monitored by 76% and would be monitored by 5% more if they had equipment. ICP monitoring was valued (0 = not at all important, 10 = critically important) as 10 by 21% (median = 8, Q1 = 7, Q3 = 9). Triggers to begin ICP monitoring included midline shift (n = 48), contusion (n = 47), ICH (n = 46), subdural haemorrhage (n = 42), Glasgow coma scale reduction of median 2 for eye, verbal or motor, and one reactive pupil (30%). Responders stated that intervention would begin for adults with an ICP median of 25 mmHg and for children 20 mmHg. Most favourable treatments of raised ICP included Mannitol and ventriculostomy, which were ranked as most favourable (out of 10) by n = 31 each. Responders claimed to be aware of 16 different trials that investigated the value of ICP monitoring in neurotrauma, including BEST TRIP (n = 35), Rescue ICP (n = 13) and DECRA (n = 8). Conclusion. ICP monitoring continues to be a highly valued and clinically desirable technique for managing traumatic ICH patients.
机译：介绍。关于颅内压（ICP）监测对创伤性脑出血（ICH）的有用性，最近的研究是模棱两可的。我们旨在调查尽可能多的国际听众对临床医生的态度。材料和方法。 SurveyMonkey？问卷已分发给个人，包括英国神经外科医师学会，欧洲脑损伤协会，Euroacademia Multidisciplinaria Neurotraumatologica的神经创伤委员会和世界神经外科学会联合会的成员。结果。 N = 98完成了至少25个不同国家的调查（外科医生n = 86）。常规地对ICP进行76％的监视，如果有设备，则对ICP进行5％的监视。 ICP监控的价值（0 =完全不重要，10 =至关重要）为21％（中位数= 8，Q1 = 7，Q3 = 9）。开始进行ICP监测的触发因素包括中线移位（n = 48），挫伤（n = 47），ICH（n = 46），硬膜下出血（n = 42），格拉斯哥昏迷的眼，言语或运动中位数减少2一名反应性瞳孔（30％）。响应者表示，干预将开始于ICP中位数为25 mmHg的成年人和儿童20 mmHg的成年人。 ICP升高的最有利治疗方法包括甘露醇和脑室造口术，按n = 31分别被评为最有利（满分10分）。响应者声称知道16项不同的研究，这些研究调查了ICP在神经外伤中的监测价值，包括BEST TRIP（n = 35），Resue ICP（n = 13）和DECRA（n = 8）。结论。 ICP监测仍然是治疗创伤性ICH患者的一项备受重视的临床理想技术。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号