A survey of routine treatment of patients with intracranial hypertension (ICH) in specialized trauma centers in São Paulo, Brazil: A 11 million metropole!

dc.contributor.authorAlith, Marcela Batan [UNIFESP]
dc.contributor.authorVidotto, Milena Carlos [UNIFESP]
dc.contributor.authorJardim, José Roberto [UNIFESP]
dc.contributor.authorGazzotti, Mariana Rodrigues [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T14:34:54Z
dc.date.available2016-01-24T14:34:54Z
dc.date.issued2014-01-01
dc.description.abstractObjective: A survey of intensive care units (ICU) in São Paulo that care for patients with TBI and ICH using the hyperventilation technique.Methods: A questionnaire was given to the physiotherapist coordinator at 57 hospitals in São Paulo, where 24-h neurosurgery service is provided.Results: Fifty-one (89.5%) hospitals replied. From this total, thirty-four (66.7% perform the hyperventilation technique, 30 (85%) had the objective to reach values below 35 mmHg, four (11%) levels between 35 mmHg and 40 mmHg and one (3%) values over 40 mmHg.Conclusions: We concluded that most hospitals in São Paulo perform hyperventilation in patients with severe brain trauma although there are not any specific Brazilian guidelines on this topic. Widespread controversy on the use of the hyperventilation technique in patients with severe brain trauma highlights the need for a specific Global policy on this topic. (C) 2013 Elsevier B.V. All rights reserved.en
dc.description.affiliationFed Univ São Paulo Unifesp EPM, Escola Paulista Med, Div Resp, Neurosurg Physiotherapy Res Grp, BR-04032010 São Paulo, Brazil
dc.description.affiliationUnifesp EPM, Physiotherapy Dept, BR-04032010 São Paulo, Brazil
dc.description.affiliationEPM, Div Resp, São Paulo, Brazil
dc.description.affiliationUnifesp EPM, Pulm Rehabil Ctr, BR-04023062 São Paulo, Brazil
dc.description.affiliationUnifesp EPM, Div Resp, Neurosurg Physiotherapy Res Grp, BR-04032010 São Paulo, Brazil
dc.description.affiliationUnifespFed Univ São Paulo Unifesp EPM, Escola Paulista Med, Div Resp, Neurosurg Physiotherapy Res Grp, BR-04032010 São Paulo, Brazil
dc.description.affiliationUnifespUnifesp EPM, Physiotherapy Dept, BR-04032010 São Paulo, Brazil
dc.description.affiliationUnifespEPM, Div Resp, São Paulo, Brazil
dc.description.affiliationUnifespUnifesp EPM, Pulm Rehabil Ctr, BR-04023062 São Paulo, Brazil
dc.description.affiliationUnifespUnifesp EPM, Div Resp, Neurosurg Physiotherapy Res Grp, BR-04032010 São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent4-8
dc.identifierhttps://dx.doi.org/10.1016/j.clineuro.2013.11.005
dc.identifier.citationClinical Neurology and Neurosurgery. Amsterdam: Elsevier B.V., v. 116, p. 4-8, 2014.
dc.identifier.doi10.1016/j.clineuro.2013.11.005
dc.identifier.issn0303-8467
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/37112
dc.identifier.wosWOS:000331483100002
dc.language.isoeng
dc.publisherElsevier B.V.
dc.relation.ispartofClinical Neurology and Neurosurgery
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.licensehttp://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
dc.subjectIntracranial hypertensionen
dc.subjectHyperventilationen
dc.subjectNeurosurgeryen
dc.subjectIntensive care unitsen
dc.titleA survey of routine treatment of patients with intracranial hypertension (ICH) in specialized trauma centers in São Paulo, Brazil: A 11 million metropole!en
dc.typeinfo:eu-repo/semantics/article
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