Therapie des schweren Schädel-Hirn-Traumas

Autor:	W. Müller-Forell, Christian Werner, Kristin Engelhard
Rok vydání:	2008
Předmět:	business.industry medicine.medical_treatment General Medicine Hypothermia Head trauma Anesthesiology and Pain Medicine Intracranial Thrombosis Anesthesia Hyperventilation medicine Decompressive craniectomy Normocapnia Cerebral perfusion pressure medicine.symptom business Intracranial pressure
Zdroj:	Der Anaesthesist. 57:1219-1231
ISSN:	1432-055X 0003-2417
DOI:	10.1007/s00101-008-1466-z
Popis:	The main target of treatment in patients with head trauma is to maintain the physiological parameters within the following normal limits: intracranial pressure (ICP) below 20 mmHg, cerebral perfusion pressure (CPP) between 50 and 70 mmHg, normoxemia (SpO(2) >90%), normocapnia (paCO(2): 35-38 mmHg), normoglycemia (80-130 mg/dl) and normothermia (36.0-37.5 degrees C). Space-occupying intracranial bleeding or edemas must be evacuated immediately. If these interventions do not result in adequate control of ICP and CPP, the next step would be to administer mannitol and barbiturates. Mild hyperventilation, therapeutic hypothermia, or decompressive craniectomy should be used solely in patients with a persistent ICP increase. Infusion of calcium antagonists or glucocorticoids is never indicated in patients with head trauma.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::a4602cb1c42775d0bbd60968f2ef85f2 https://doi.org/10.1007/s00101-008-1466-z Zobrazit plný text záznamu Full text from SpringerLink