Management of severe traumatic brain injury (first 24 hours)

被引：130

作者：

Geeraerts, Thomas ^{[1
]}

Velly, Lionel ^{[2
]}

Abdennour, Lamine ^{[3
]}

Asehnoune, Karim ^{[4
]}

Audibert, Gerard ^{[5
]}

Bouzat, Pierre ^{[6
]}

Bruder, Nicolas ^{[2
]}

Carrillon, Romain ^{[7
]}

Cottenceau, Vincent ^{[8
]}

Cotton, Francois ^{[9
]}

Courtil-Teyssedre, Sonia ^{[10
]}

Dahyot-Fizelier, Claire ^{[11
]}

Dailler, Frederic ^{[7
]}

David, Jean-Stephane ^{[12
]}

Engrand, Nicolas ^{[13
]}

Fletcher, Dominique ^{[14
]}

Francony, Gilles ^{[6
]}

Gergele, Laurent ^{[15
]}

Ichai, Carole ^{[16
]}

Javouhey, Etienne ^{[10
]}

Leblanc, Pierre-Etienne ^{[17
,18
]}

Lieutaud, Thomas ^{[19
,20
]}

Meyer, Philippe ^{[21
]}

Mirek, Sebastien ^{[22
]}

Orliaguet, Gilles ^{[21
]}

Proust, Francois ^{[23
]}

Quintard, Herve ^{[16
]}

Ract, Catherine ^{[17
,18
]}

Srairi, Mohamed ^{[1
]}

Tazarourte, Karim ^{[24
]}

Vigue, Bernard ^{[17
,18
]}

Payen, Jean-Francois ^{[6
]}

机构：

[1] Univ Toulouse 3, Paul Sabatier, CHU Toulouse,Pole Anesthesie Reanimat, ToNIC,Toulouse Neuroimaging Ctr,UMR 1214,Inserm, F-31059 Toulouse, France

[2] Univ Aix Marseille, CHU Timone, AP HM, Serv Anesthesie Reanimat, F-13005 Marseille, France

[3] Grp Hosp Pitie Salpetriere, AP HP, Dept Anesthesie Reanimat, F-75013 Paris, France

[4] CHU Nantes, Hotel Dieu, Serv Anesthesie & Reanimat Chirurgicale, F-44093 Nantes 1, France

[5] CHU Nancy, Hop Cent, Dept Anesthesie & Reanimat, F-54000 Nancy, France

[6] CHU Grenoble Alpes, Pole Anesthesie Reanimat, F-38043 Grenoble 9, France

[7] Hosp civils Lyon, Grp Hosp Est, Hop Neurol Pierre Wertheimer, Serv Anesthesie & Reanimat, F-69677 Bron, France

[8] CHU Bordeaux, Hop Pellegrin, SAR 1, Serv Reanimat Cirurgicale & Traumatol, Bordeaux, France

[9] Hosp Civils Lyon, Ctr Hosp Lyon Sud, Serv Imagerie, F-69495 Pierre Benite, France

[10] Hosp Civils Lyon, Hop Femme Mere Enfant, Serv Reanimat Pediat, F-69677 Bron, France

[11] CHU Poitiers, Dept Anesthesie & Reanimat, F-86021 Poitiers, France

[12] Ctr Hosp Lyon Sud, Hospices Civils Lyon, Serv Anesthesie Reanimat, F-69495 Pierre Benite, France

[13] Fdn Ophtalmol Adolphe Rothschild, Serv Anesthesie Reanimat, F-75940 Paris 19, France

[14] Univ Versailles St Quentin, Hop Raymond Poincare, AP HP, Serv Anesthesie Reanimat Chirurgicale, Garches, France

[15] CHU St Etienne, Dept Anesthesie & Reanimat, F-42055 St Etienne, France

[16] CHU Nice, Hop Pasteur, CNRS, UMR 7275,Serv Anesthesie Reanimat Med Chirurgical, F-06000 Nice, France

[17] Hop Univ Paris Sud, Hop Bicetre, AP HP, Dept Anesthesie & Reanimat, Le Kremlin Bicetre, France

[18] Ctr Rech Neurosci, Ctr Hosp Bourg Bresse, Serv Anesthesie, Inserm 5288,CNRS 1072,Equipe TIGER, Lyon, France

[19] Univ Claude Bernard Lyon, IFSTTAR, UMR T9405, UMRESTTE, Lyon, France

[20] Univ Paris 05, Hop Univ Necker Enfants Malades, Serv Anesthesie Reanimat, AP HP, Paris, France

[21] Serv Pharmacol & Evaluat Therapeut Chez Enfant En, EA Paris Descartes 08, F-75743 Paris 15, France

[22] CHU Dijon, Serv Anesthesie Reanimat, Dijon, France

[23] CHU Strasbourg, Serv Neurochirurgie, Hop Hautepierre, F-67098 Strasbourg, France

[24] Hop Edouard Herriot, Hosp civils Lyon, SAMU SMUR Serv Urgences, F-69437 Lyon 03, France

来源：

ANAESTHESIA CRITICAL CARE & PAIN MEDICINE | 2018年 / 37卷 / 02期

关键词：

CEREBRAL PERFUSION-PRESSURE; GLASGOW-COMA-SCALE; SEVERE HEAD-INJURY; SIMPLIFIED MOTOR SCORE; INTENSIVE INSULIN THERAPY; SYSTOLIC BLOOD-PRESSURE; INTRA-CRANICAL PRESSURE; REFRACTORY INTRACRANIAL HYPERTENSION; EARLY DECOMPRESSIVE CRANIECTOMY; RANDOMIZED CONTROLLED-TRIALS;

D O I：

10.1016/j.accpm.2017.12.001

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

The latest French Guidelines for the management in the first 24 hours of patients with severe traumatic brain injury (TBI) were published in 1998. Due to recent changes (intracerebral monitoring, cerebral perfusion pressure management, treatment of raised intracranial pressure), an update was required. Our objective has been to specify the significant developments since 1998. These guidelines were conducted by a group of experts for the French Society of Anesthesia and Intensive Care Medicine (Societe francaise d'anesthesie et de reanimation [SFAR]) in partnership with the Association de neuro-anesthesie-reanimation de langue francaise (ANARLF), The French Society of Emergency Medicine (Societe francaise de medecine d'urgence (SFMU), the Societe francaise de neurochirurgie (SFN), the Groupe francophone de reanimation et d'urgences pediatriques (GFRUP) and the Association des anesthesistes-reanimateurs pediatriques d'expression francaise (ADARPEF). The method used to elaborate these guidelines was the Grade (R) method. After two Delphi rounds, 32 recommendations were formally developed by the experts focusing on the evaluation the initial severity of traumatic brain injury, the modalities of prehospital management, imaging strategies, indications for neurosurgical interventions, sedation and analgesia, indications and modalities of cerebral monitoring, medical management of raised intracranial pressure, management of multiple trauma with severe traumatic brain injury, detection and prevention of post-traumatic epilepsia, biological homeostasis (osmolarity, glycaemia, adrenal axis) and paediatric specificities. (C) 2017 The Authors. Published by Elsevier Masson SAS on behalf of Societe francaise d'anesthesie et de reanimation (Sfar).

引用

页码：171 / 186

页数：16

共 304 条

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