| Monitoring in non-traumatic coma. Part I: Invasive intracranial measurements. | |
| | |
MedLine Citation:
|
PMID: 3415323 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The arterial blood pressure, intracranial pressure, and organ system failure scores were reviewed for 49 infants and children with non-traumatic coma from various causes. The neurological outcome was good in 21 patients, moderate in five, and poor in 23. There was no significant difference in maximum intracranial pressures between patients with a good outcome and those with a poor one, but patients with a poor outcome had significantly lower minimum cerebral perfusion pressures. During the period of admission 18 patients had cardiovascular failure, none had renal failure, and two developed severe coagulopathy. Seventeen of the 19 patients in whom at least one of these systems failed died. Our findings emphasise the diversity of illnesses associated with raised intracranial pressure in children and the number who develop multiple organ failure, and the values and limitations of using minimum cerebral perfusion pressure and the organ system failure scores as guides to severity of illness and prognosis. |
| | |
Authors:
|
R C Tasker; D J Matthew; P Helms; R Dinwiddie; S Boyd |
Related Documents
:
|
731303 - Catecholamine response to intracranial hypertension. 8890943 - Maintaining normal intracranial pressure in a rabbit model during treatment of severe d... 1443003 - Autonomic and arginine vasopressin modulation of the hypoxia-induced atrial natriuretic... |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Archives of disease in childhood Volume: 63 ISSN: 1468-2044 ISO Abbreviation: Arch. Dis. Child. Publication Date: 1988 Aug |
Date Detail:
|
Created Date: 1988-10-07 Completed Date: 1988-10-07 Revised Date: 2009-11-18 |
Medline Journal Info:
|
Nlm Unique ID: 0372434 Medline TA: Arch Dis Child Country: ENGLAND |
Other Details:
|
Languages: eng Pagination: 888-94 Citation Subset: AIM; IM |
Affiliation:
|
Hospital for Sick Children, London. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Acute Disease Adolescent Blood Pressure Cerebral Arteries / physiopathology* Cerebrovascular Circulation* Child Child, Preschool Coma / etiology, physiopathology* Female Humans Infant Infant, Newborn Intracranial Pressure* Male Monitoring, Physiologic / methods Prognosis Retrospective Studies |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Lung function and bronchial responsiveness measured by forced oscillometry after bronchopulmonary dy...
Next Document: Monitoring in non-traumatic coma. Part II: Electroencephalography.