Intracranial Pressure Monitoring During Percutaneous Tracheostomy 'Percutwist' in Critically Ill Neurosurgery Patients
| Autor: | Roberto Favaro, Giovanni Rosa, Giuseppina Magni, Carmela Imperiale |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male Critical Illness Population intracranial pressure Blood Pressure Neurosurgical Procedures law.invention Tracheostomy law Monitoring Intraoperative Cerebral Hemorrhage Traumatic Humans Medicine tracheostomia Cerebral perfusion pressure education Intracranial pressure education.field_of_study Brain Neoplasms business.industry Glasgow Coma Scale Carbon Dioxide Middle Aged Intensive care unit Oxygen Anesthesiology and Pain Medicine Blood pressure Brain Injuries Cerebrovascular Circulation Anesthesia Arterial blood Intracranial pressure monitoring Female Meningioma business |
| Zdroj: | Anesthesia & Analgesia. 108:588-592 |
| ISSN: | 0003-2999 |
| DOI: | 10.1213/ane.0b013e31818f601b |
| Popis: | BACKGROUND Tracheostomy is commonly required as part of the management of patients with severe brain damage. Percutaneous dilation tracheostomy is increasingly used in intensive care unit as an alternative to standard surgical tracheostomy. However, this procedure carries the risk of neurological complications, particularly in patients with intracranial hypertension. In this study, we sought to quantify the effects of Percutwist(R) tracheostomy (Rusch-Teleflex Medical) on intracranial pressure (ICP), cerebral perfusion pressure (CPP), arterial CO(2) tension (Paco(2)), and arterial O(2) tension (Pao(2)), in 65 consecutive critically ill patients admitted to the neurosurgical intensive care unit, undergoing bedside percutaneous tracheostomy. METHODS Sixty-five patients (29 men, 36 women, mean age 43 yr, 7 +/- 10.6) Glasgow Coma Scale |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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