Neuromonitoring in Children with Traumatic Brain Injury.

Brain chemistry Cerebral autoregulation Cerebral oxygenation Intracranial pressure Neuromonitoring Pediatric traumatic brain injury Transcranial Doppler

Journal

Neurocritical care
ISSN: 1556-0961
Titre abrégé: Neurocrit Care
Pays: United States
ID NLM: 101156086

Informations de publication

Date de publication:
29 Jun 2023
Historique:
received: 19 05 2022
accepted: 05 06 2023
medline: 30 6 2023
pubmed: 30 6 2023
entrez: 29 6 2023
Statut: aheadofprint

Résumé

Traumatic brain injury remains a major cause of mortality and morbidity in children across the world. Current management based on international guidelines focuses on a fixed therapeutic target of less than 20 mm Hg for managing intracranial pressure and 40-50 mm Hg for cerebral perfusion pressure across the pediatric age group. To improve outcome from this complex disease, it is essential to understand the pathophysiological mechanisms responsible for disease evolution by using different monitoring tools. In this narrative review, we discuss the neuromonitoring tools available for use to help guide management of severe traumatic brain injury in children and some of the techniques that can in future help with individualizing treatment targets based on advanced cerebral physiology monitoring.

Identifiants

pubmed: 37386341
doi: 10.1007/s12028-023-01779-1
pii: 10.1007/s12028-023-01779-1
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2023. Crown.

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Auteurs

Shruti Agrawal (S)

Department of Paediatric Intensive Care, Cambridge University Hospitals National Health Service Foundation Trust, Level 3, Box 7, Addenbrookes Hospital Hills Road, Cambridge, UK. shruti.agrawal1@nhs.net.
University of Cambridge, Cambridge, UK. shruti.agrawal1@nhs.net.

Francisco Abecasis (F)

Paediatric Intensive Care Unit, Centro Hospitalar Universitário Lisboa Norte, Lisbon, Portugal.

Ibrahim Jalloh (I)

University of Cambridge, Cambridge, UK.
Department of Neurosurgery, Cambridge University Hospitals National Health Service Foundation Trust, Cambridge, UK.

Classifications MeSH