Document Detail


Innovations in the management of cerebral injury.
MedLine Citation:
PMID:  15875444     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
During the past decade, brain tissue oxygen monitoring has been studied predominantly in Europe. Cerebral oxygenation monitoring was implemented in many intensive care units and correlations of intracranial pressure, cerebral perfusion pressure, end-tidal carbon dioxide monitoring, fever and partial pressure of brain tissue oxygenation (Pbto2) have been described (Crit Care Nurse. 2003;23[4, pt 1]:17-27). The monitoring of brain tissue oxygen is now being done and researched in the United States. This article will discuss the history of treatment of traumatic brain injury and how treatment interventions are changing with the latest technological advances in monitoring of cerebral oxygen levels and suggested interventions and factors that affect brain tissue oxygenation. It is clear that by understanding the causes of hypoxia and ischemia--along with the interventions to treat them--the critical care team will be better able to prevent low oxygen states in the brain and optimize treatment, thus improving patient outcome.
Authors:
Corazon Albano; Laura Comandante; Scot Nolan
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Critical care nursing quarterly     Volume:  28     ISSN:  0887-9303     ISO Abbreviation:  Crit Care Nurs Q     Publication Date:    2005 Apr-Jun
Date Detail:
Created Date:  2005-05-06     Completed Date:  2005-06-20     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8704517     Medline TA:  Crit Care Nurs Q     Country:  United States    
Other Details:
Languages:  eng     Pagination:  135-49     Citation Subset:  N    
Affiliation:
Critical Care Services, Scripps Mercy Hospital, San Diego, CA 92103, USA. supernanay143@aol.com
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MeSH Terms
Descriptor/Qualifier:
Blood Flow Velocity
Blood Gas Analysis
Brain Chemistry
Brain Injuries / complications*
Cerebrovascular Circulation
Critical Care / methods*,  trends
Energy Metabolism
Fever / etiology
Humans
Hyperglycemia / etiology
Hyponatremia / etiology
Hypoxia, Brain / diagnosis*,  etiology,  metabolism,  physiopathology,  therapy*
Intracranial Hypertension / etiology
Monitoring, Physiologic / methods*,  nursing,  trends
Nurse's Role
Nursing Assessment
Oximetry
Oxygen / analysis,  metabolism
Oxygen Consumption
Patient Care Planning
Risk Factors
Time Factors
Chemical
Reg. No./Substance:
7782-44-7/Oxygen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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