Practical and comprehensive guidelines for bedside cerebral hemometabolic multitherapeutic optimization

Practical and comprehensive guidelines for bedside cerebral hemometabolic multitherapeutic optimization

Autor Cruz, Julio Autor UNIFESP Google Scholar
Instituição Universidade Federal de São Paulo (UNIFESP)
Resumo In recent years, noncomprehensive guidelines were proposed for the management of severe acute brain injuries, focusing strictly on two approaches: 1) to maintain cerebral perfusion pressure anywhere above 70 mm Hg; and 2) to maintain arterial carbon dioxide tension levels above 30 torr. Strictly following these propositions, a recently reported prospective controlled study addressed mortality rates of no less than 75-76%, far worse than mortality rates reported before those guidelines were published. As a humanitarian alternative, the present comprehensive guidelines are aimed at addressing practical bedside strategies to manage no only intracranial pressure and cerebral perfusion pressure but also cerebral extraction of oxygen, based on solid previously reported papers which revealed the lowest mortality rates (below 15%) in the pertinent literature, in recent years.
Palavra-chave cerebral extraction of oxygen
intracranial pressure
guidelines
head injury
Idioma Inglês
Data de publicação 2002-09-01
Publicado em Arquivos de Neuro-psiquiatria. São Paulo, SP: Assoc Arquivos de Neuro- Psiquiatria, v. 60, n. 3A, p. 670-674, 2002.
ISSN 0004-282X (Sherpa/Romeo, fator de impacto)
Publicador Assoc Arquivos de Neuro- Psiquiatria
Extensão 670-674
Fonte http://dx.doi.org/10.1590/S0004-282X2002000400031
Direito de acesso Acesso aberto Open Access
Tipo Artigo
Web of Science WOS:000177767200031
SciELO S0004-282X2002000400031 (estatísticas na SciELO)
Endereço permanente http://repositorio.unifesp.br/handle/11600/26960

Exibir registro completo




Arquivo

Arquivo Tamanho Formato Visualização

Não existem arquivos associados a este item.

Este item está nas seguintes coleções

Buscar


Navegar

Minha conta