دورية أكاديمية

The Role of Intracranial Pressure (ICP) Monitoring in Severe Traumatic Brain Injury (TBI)

التفاصيل البيبلوغرافية
العنوان: The Role of Intracranial Pressure (ICP) Monitoring in Severe Traumatic Brain Injury (TBI)
المؤلفون: Khan Hoti, Yaser-Ud-Din, Ishaque, Khurram, Aziz, Amir, Rizvi, Shahrukh, Salah-ud-Din, Tariq
المصدر: Pakistan Journal Of Neurological Surgery; Vol. 20 No. 1 (2016): January-March; 37-43 ; 2409-5567 ; 1995-8811
بيانات النشر: //www.paksn.org/pjns/. Email, Email: publisher.pakjns@paksn.org
سنة النشر: 2018
المجموعة: Pakistan Journal Of Neurological Surgery
مصطلحات موضوعية: Glasgow coma scale, Intra cranial pressure, Traumatic Brain Injury
الوصف: The management of patients with severe head injury is a prodigious task for any neurosurgical team. After the initial life support, the management plan of patient with traumatic brain injury rest on the findings of a cranial CT scan. The treatment options of TBI differ with severity of trauma. Osmotic diuretics in the acute phase can be helpful. Hyperventilation is a method to be used in conjunction with other options in certain situations. Normal values of intra cranial pressure (ICP) vary with age, being 10 to 15 mm Hg in an adult. Intra cranial pressure (ICP) values of 20 to 30 mm Hg shows mild intracranial hypertension, while sustained intra cranial pressure (ICP) values more than 40 mm Hg indicate life-threatening malignant intracranial hypertension which should be lowered immediately. Measuring the intra cranial pressure of severe traumatic brain injury patients is now mandatory as it allows an effective and control way of lowering the raised ICP with very good outcome results.Objective: To adjust the ICP lowering mechanics according to the reading obtained via the ICP monitor in patients after severe head injury so as to minimize the need of ventilatory support and decrease the patients’ stay at hospital.1. To measure the value of ICP by using ICP monitoring in severe head injuries (GCS score below or equal to 8).2. To assess the outcome of the conservative measures in patients in whom ICP was monitored, on the basis of Glasgow Outcome ScaleStudy Design: Prospective descriptive study.Setting: Department of Neurosurgery, Lahore General Hospital, Lahore.Duration of Study: One year from July 2012 to July 2013.Materials and Method: Thirty patients of traumatic brain injury were included in this study. ICP monitoring was done via Integra intra parenchymal Camino bolt and Integra ICP monitors.Results: Out of 30 patients, there were 21 (70%) male patients and 9 (30%) female patients.The male to female ratio was 2.33:1. In 20 (67%) patients the ICP ranged from 25 – 34 mm Hg. There were 10 (33%) patients having ...
نوع الوثيقة: article in journal/newspaper
وصف الملف: application/pdf
اللغة: English
العلاقة: https://pakjns.org/index.php/pjns/article/view/137/115Test; https://pakjns.org/index.php/pjns/article/view/137Test
الإتاحة: https://pakjns.org/index.php/pjns/article/view/137Test
حقوق: Copyright (c) 2018 Pakistan Journal Of Neurological Surgery
رقم الانضمام: edsbas.5F0B3177
قاعدة البيانات: BASE