| Controversies of prophylactic hypothermia and the emerging use of brain tissue oxygen tension monitoring and decompressive craniectomy in traumatic brain-injured children. | |
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MedLine Citation:
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PMID: 20036140 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Despite being the leading cause of death and disability in the paediatric population, traumatic brain injury (TBI) in this group is largely understudied. Clinical practice within the paediatric intensive care unit (PICU) has been based upon adult guidelines however children are significantly different in terms of mechanism, pathophysiology and consequence of injury. AIM: To review TBI management in the PICU and gain insight into potential management strategies. METHOD: To conduct this review, a literature search was conducted using MEDLINE, PUBMED and The Cochrane Library using the following key words; traumatic brain injury; paediatric; hypothermia. There were no date restrictions applied to ensure that past studies, whose principles remain current were not excluded. RESULTS: Three areas were identified from the literature search and will be discussed against current acknowledged treatment strategies: Prophylactic hypothermia, brain tissue oxygen tension monitoring and decompressive craniectomy. CONCLUSION: Previous literature has failed to fully address paediatric specific management protocols and we therefore have little evidence-based guidance. This review has shown that there is an emerging and ongoing trend towards paediatric specific TBI research in particular the area of moderate prophylactic hypothermia (MPH). |
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Authors:
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Kelly Foster; Christian Stocker; Andreas Schibler |
Publication Detail:
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Type: Journal Article; Review Date: 2009-12-24 |
Journal Detail:
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Title: Australian critical care : official journal of the Confederation of Australian Critical Care Nurses Volume: 23 ISSN: 1036-7314 ISO Abbreviation: Aust Crit Care Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-02-17 Completed Date: 2010-05-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9207852 Medline TA: Aust Crit Care Country: Australia |
Other Details:
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Languages: eng Pagination: 4-11 Citation Subset: N |
Copyright Information:
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Copyright 2009 Australian College of Critical Care Nurses Ltd. All rights reserved. |
Affiliation:
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Paediatric Critical Care Research Group, Paediatric Intensive Care Unit, Mater Children's Hospital, Raymond Terrace, South Brisbane, Queensland 4101, Australia. kelly.foster@mater.org.au |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Age Factors Brain Chemistry / physiology Brain Injuries / complications, epidemiology, therapy* Cerebrovascular Circulation / physiology Child Critical Care / methods*, trends Decompressive Craniectomy* / methods Dissent and Disputes Humans Hypothermia, Induced* / methods Hypoxia, Brain / diagnosis, etiology, metabolism, prevention & control* Intensive Care Units, Pediatric Intracranial Hypertension / etiology, prevention & control Monitoring, Physiologic* / methods Oxygen / analysis, metabolism Practice Guidelines as Topic Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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7782-44-7/Oxygen |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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