Traitement de l'hypertension intracrânienne en cas de traumatisme craniocérébral grave [Treatment of intracranial hypertension in the case of severe craniocerebral injuries].

Details

Serval ID
serval:BIB_3418E26EF263
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Traitement de l'hypertension intracrânienne en cas de traumatisme craniocérébral grave [Treatment of intracranial hypertension in the case of severe craniocerebral injuries].
Journal
Annales Françaises d'anesthèsie et de Rèanimation
Author(s)
Moeschler O., Ravussin P.
ISSN
0750-7658 (Print)
ISSN-L
0750-7658
Publication state
Published
Issued date
1997
Peer-reviewed
Oui
Volume
16
Number
4
Pages
453-458
Language
french
Notes
Publication types: English Abstract ; Journal Article ; Review
Publication Status: ppublish
Abstract
More than 50% of severely head-injured patients develop increased intracranial pressure, risking exacerbating ischaemic insults to the already injured brain. In approximately 10% of these cases, intracranial pressure may become unresponsive to medical or surgical treatment, with a resulting mortality of over 90%. The main emphasis should be on full intensive care, based on the prophylaxis of the devastating effects of secondary insults to the injured brain. Specific treatment should be directed towards controlling intracranial pressure and maintaining a cerebral perfusion pressure over 70 mmHg, while avoiding, where feasible, treatment modalities at risk of exacerbating cerebral ischaemia. Recently, an algorithm for treating intracranial hypertension under three different therapeutic situations has been suggested, based on the successive application of effective agents with increasing associated risks. Therapeutic modalities of this protocol are discussed.
Keywords
Algorithms, Animals, Barbiturates/therapeutic use, Brain Edema/etiology, Brain Edema/prevention & control, Brain Injuries/complications, Brain Injuries/therapy, Brain Ischemia/etiology, Brain Ischemia/prevention & control, Combined Modality Therapy, Diuretics, Osmotic/therapeutic use, Drainage, Humans, Hyperventilation, Intensive Care/methods, Intracranial Hypertension/etiology, Intracranial Hypertension/therapy, Mannitol/therapeutic use, Monitoring, Physiologic, Vasoconstrictor Agents/therapeutic use
Pubmed
Web of science
Create date
17/01/2008 16:20
Last modification date
20/08/2019 13:20
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