R3-survey of traumatic brain injury management in European Brain IT centres year 2001
| Autor: | Karl L. Kiening, Pelle Nilsson, Giuseppe Citerio, Ian Piper, Arminas Ragauskas, I. Chambers, Per Enblad, Y. H. Yau, C. Contant, Tim Howells, Juan Sahuquillo, H Fiddes |
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| Přispěvatelé: | Enblad, P, Nilsson, P, Chambers, I, Citerio, G, Fiddes, H, Howells, T, Kiening, K, Ragauskas, A, Sahuquillo, J, Yau, Y, Contant, C, Piper, I |
| Rok vydání: | 2003 |
| Předmět: |
Adult
Male medicine.medical_specialty Traumatic brain injury Sedation Intensive Care Unit Psychological intervention Critical Care and Intensive Care Medicine Intensive care Anesthesiology Brain Injurie Hyperventilation Medicine Humans Survey Quality of Health Care Coma business.industry Head injury medicine.disease Organizational Policy Management Europe Intensive Care Units Health Care Survey Brain Injuries Health Care Surveys Emergency medicine Practice Guidelines as Topic Guideline Adherence medicine.symptom business Case Management Human |
| Zdroj: | Intensive care medicine. 30(6) |
| ISSN: | 0342-4642 |
| Popis: | Objective: To obtain knowledge about the conditions and management of traumatic brain injury (TBI) in a collaborative network of Brain Information Technology centres. Design: The Brain IT (Brain monitoring with Information Technology) survey comprised two parts: local conditions and policies (part A), and a case study part (part B). The information was gathered by written questionnaires followed by telephone interviews. Participants: Twenty-four Brain IT centres participated (two respondents from 18 sites). Results: The average proportion of agreement between duplicate respondents was 0.79 (range 0.44-1.00). All Brain IT centres monitored ICP. The reported order of treatment for intracranial hypertension was: evacuation of mass-lesions and head elevation (1), increase of sedation and Mannitol scheme (2), hyperventilation (3), ventricular drainage (4), craniectomy and pentothal coma (5), and decompressive lobectomy (6). The respondents were less prone to evacuate expansive contusions in relation to extra cerebral hematomas. The most common suggested interventions (alone or in combination) for treatment of intracranial hypertension without mass lesions was the Mannitol scheme (included in 71% of the suggestions), CSF drainage (included in 56%), hyperventilation (included in 32%), and pentothal coma (included in 22%). Conclusions: The suggested management of TBI was mainly in accordance with published guidelines, although a minor proportion of the answers deviated to some extent. The suggested order and combinations of different treatment interventions varied. Variation of treatment within the range of prescribed standards provides optimal conditions for an interesting future analysis of treatment and monitoring data as collected prospectively in a Brain IT database. © Springer-Verlag 2004. |
| Databáze: | OpenAIRE |
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