Practical and comprehensive guidelines for bedside cerebral hemometabolic multitherapeutic optimization

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dc.contributor.author Cruz, Julio [UNIFESP]
dc.date.accessioned 2016-01-24T12:33:30Z
dc.date.available 2016-01-24T12:33:30Z
dc.date.issued 2002-09-01
dc.identifier http://dx.doi.org/10.1590/S0004-282X2002000400031
dc.identifier.citation Arquivos de Neuro-psiquiatria. São Paulo, SP: Assoc Arquivos de Neuro- Psiquiatria, v. 60, n. 3A, p. 670-674, 2002.
dc.identifier.issn 0004-282X
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/26960
dc.description.abstract 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. en
dc.format.extent 670-674
dc.language.iso eng
dc.publisher Assoc Arquivos de Neuro- Psiquiatria
dc.relation.ispartof Arquivos de Neuro-psiquiatria
dc.rights Acesso aberto
dc.subject cerebral extraction of oxygen en
dc.subject intracranial pressure en
dc.subject guidelines en
dc.subject head injury en
dc.title Practical and comprehensive guidelines for bedside cerebral hemometabolic multitherapeutic optimization en
dc.type Artigo
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.description.affiliation Universidade Federal de São Paulo, Comprehens Int Ctr Neuroemergencies, São Paulo, SP, Brazil
dc.description.affiliation Universidade Federal de São Paulo, Escola Paulista Med, São Paulo, SP, Brazil
dc.description.affiliationUnifesp Universidade Federal de São Paulo, Comprehens Int Ctr Neuroemergencies, São Paulo, SP, Brazil
dc.description.affiliationUnifesp Universidade Federal de São Paulo, Escola Paulista Med, São Paulo, SP, Brazil
dc.identifier.file S0004-282X2002000400031.pdf
dc.identifier.scielo S0004-282X2002000400031
dc.identifier.doi 10.1590/S0004-282X2002000400031
dc.description.source Web of Science
dc.identifier.wos WOS:000177767200031



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