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Clinical applicatio...
Clinical applications of intracranial pressure monitoring in traumatic brain injury
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- Stocchetti, Nino (författare)
- Department of Physiopathology and Transplant, Milan University, Neuro ICU, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy
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- Picetti, Edoardo (författare)
- Division of Anesthesia and Intensive Care, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy
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- Berardino, Maurizio (författare)
- Anesthesia and ICU, Orthopedic and Trauma Hospital, AOU Città Della Salute e Della Scienza, Turin, Italy
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- Büki, Andras, 1966- (författare)
- Department of Neurosurgery, University of Pécs, Clinical Neuroscience Image Center of Hungarian Academy of Sciences (HAS), Pécs, Hungary
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- Chesnut, Randall M. (författare)
- Department of Neurological Surgery, University of Washington School of Medicine, Seattle, WA, United States; Department of Orthopaedic Surgery, University of Washington School of Medicine, Seattle, WA, United States; University of Washington School of Global Health, Seattle, WA, United States
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- Fountas, Kostas N. (författare)
- Department of Neurosurgery, School of Medicine, University of Thessaly, Larissa, Greece
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- Horn, Peter (författare)
- Department of Neurosurgery, Dr. Horst Schmidt Klinik (HSK), Wiesbaden, Germany
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- Hutchinson, Peter J. (författare)
- Department of Clinical Neurosciences, Addenbrooke's Hospital, University of Cambridge, Cambridge, United Kingdom
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- Iaccarino, Corrado (författare)
- Division of Neurotraumatology-Neurosurgery, Azienda Ospedaliero-Universitaria di Parma, ASMN-IRCCS Reggio Emilia, Parma, Reggio Emilia, Italy
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- Kolias, Angelos G. (författare)
- Department of Clinical Neurosciences, Addenbrooke's Hospital, University of Cambridge, Cambridge, United Kingdom
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- Koskinen, Lars-Owe (författare)
- Umeå universitet,Klinisk neurovetenskap,Department of Neurosurgery, Umeå University Hospital, Umeå, Sweden
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- Latronico, Nicola (författare)
- Department of Anesthesia and Critical Care Medicine, University of Brescia at Spedali Civili, Brescia, Italy
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- Maas, Andrews I. R. (författare)
- Department of Neurosurgery, University Hospital Antwerp, Antwerp, Belgium
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- Payen, Jean-Francois (författare)
- Pôle Anesthésie-Réanimation, CHU Grenoble, Grenoble, France
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- Rosenthal, Guy (författare)
- Department of Neurosurgery, Hadassah-Hebrew University Medical Center, Jerusalem, Israel
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- Sahuquillo, Juan (författare)
- Department of Neurosurgery, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, Barcelona, Spain
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- Signoretti, Stefano (författare)
- Division of Neurosurgery, Department of Head and Neck Surgery, Azienda Ospedaliera S. Camillo-Forlanini, Rome, Italy
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- Soustiel, Jean F. (författare)
- Department of Neurosurgery, Galilee Medical Center, Bar Ilan University, Naharia, Israel
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- Servadei, Franco (författare)
- Division of Neurotraumatology-Neurosurgery, Azienda Ospedaliero-Universitaria di Parma, ASMN-IRCCS Reggio Emilia, Parma, Reggio Emilia, Italy
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(creator_code:org_t)
- 2014-05-22
- 2014
- Engelska.
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Ingår i: Acta Neurochirurgica. - : Springer. - 0001-6268 .- 0942-0940. ; 156:8, s. 1615-1622
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Intracranial pressure (ICP) monitoring has been for decades a cornerstone of traumatic brain injury (TBI) management. Nevertheless, in recent years, its usefulness has been questioned in several reports. A group of neurosurgeons and neurointensivists met to openly discuss, and provide consensus on, practical applications of ICP in severe adult TBI. A consensus conference was held in Milan on October 5, 2013, putting together neurosurgeons and intensivists with recognized expertise in treatment of TBI. Four topics have been selected and addressed in pro-con presentations: 1) ICP indications in diffuse brain injury, 2) cerebral contusions, 3) secondary decompressive craniectomy (DC), and 4) after evacuation of intracranial traumatic hematomas. The participants were asked to elaborate on the existing published evidence (without a systematic review) and their personal clinical experience. Based on the presentations and discussions of the conference, some drafts were circulated among the attendants. After remarks and further contributions were collected, a final document was approved by the participants. The group made the following recommendations: 1) in comatose TBI patients, in case of normal computed tomography (CT) scan, there is no indication for ICP monitoring; 2) ICP monitoring is indicated in comatose TBI patients with cerebral contusions in whom the interruption of sedation to check neurological status is dangerous and when the clinical examination is not completely reliable. The probe should be positioned on the side of the larger contusion; 3) ICP monitoring is generally recommended following a secondary DC in order to assess the effectiveness of DC in terms of ICP control and guide further therapy; 4) ICP monitoring after evacuation of an acute supratentorial intracranial hematoma should be considered for salvageable patients at increased risk of intracranial hypertension with particular perioperative features.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
Nyckelord
- Traumatic brain injury
- Intracranial pressure
- Monitoring
- Management
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- ref (ämneskategori)
- art (ämneskategori)
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Stocchetti, Nino
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Picetti, Edoardo
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Berardino, Mauri ...
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Büki, Andras, 19 ...
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Chesnut, Randall ...
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Fountas, Kostas ...
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visa fler...
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Horn, Peter
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Hutchinson, Pete ...
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Iaccarino, Corra ...
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Kolias, Angelos ...
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Koskinen, Lars-O ...
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Latronico, Nicol ...
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Maas, Andrews I. ...
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Payen, Jean-Fran ...
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Rosenthal, Guy
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Sahuquillo, Juan
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Signoretti, Stef ...
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Soustiel, Jean F ...
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Servadei, Franco
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Neurologi
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Acta Neurochirur ...
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Umeå universitet
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Örebro universitet