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  • Zdravljenje hudih poškodb možganov s spremljanjem intrakranialnega tlaka in možganskega prekrvitvenega tlaka = Treatment of severe brain injuries with monitoring of intracranial pressure and cerebral perfusion pressure
    Strojnik, Tadej
    Background. Changes concerning the management of severe brain injuries in the last several years have prompted us to join the international study on "Guidelines" which were proposed by the Aitken ... Neuroscience Center, New York. The neurosurgical department and the department of ICU of the Maribor General Hospital were the participants among other hospital units from the Central Europe. We present 23 patients treated according to Aitken's protocol. Methods. We included patients with a severe brain injury (GCS 8 or less, admitted within 12 hours after the trauma). On admittance the neurological examination and CT scan were carried out. An operative treatment of mass lesion followed if it was necessary. The external liquor drainage was insertedand parenchyma sensor was implanted for intracranial pressure (ICP) monitoring. The arterial pressure was recorded every hour, as well as ICP and cerebral perfusion pressure (CPP) and treated according to monitored values. Twelve hours and ten days after the operation the postoperative CT scans were repeated. The outcome was assessed by Glasgow Outcome Scale (GOS) after 10 days and than one, three and six months later. Results. Twenty-three patients with a severe brain injury (GCS 8 or less) were included. Most (9 of 23) injuries resulted from a fall. Seventeen patients were operated upon intracranial mass lesion. We placed 21 sensors for ICP monitoring. After six months 12 patients are in good condition, 3 patients are in vegetative state. Eight patients died. Conclusions. The outcome following a severe head injury has improved in recentyears. In acute treatment of brain injuries it is necessary for all involved to apply the approaches, as suggested in this contribution.
    Vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 69, št. 7/8, jul.-avg. 2000, str. 509-515)
    Vrsta gradiva - članek, sestavni del
    Leto - 2000
    Jezik - slovenski
    COBISS.SI-ID - 11832281

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