Pathophysiology and Management of Intracranial Hypertension and Tissular Brain Hypoxia After Severe Traumatic Brain Injury An Integrative Approach

被引：36

作者：

Agustin Godoy, Daniel ^{[1
,2
]}

Lubillo, Santiago ^{[3
]}

Rabinstein, Alejandro A. ^{[4
]}

机构：

[1] San Juan Bautista Hosp, Intens Care Unit, Catamarca, Argentina

[2] Sanatorio Pasteur, Neurointens Care Unit, Chacabuco 675, RA-4700 Catamarca, Argentina

[3] Hosp Univ NS Candelaria, Intens Care Unit, Tenerife, Spain

[4] Mayo Clin, Neurosci Crit Care Unit, Rochester, MN USA

来源：

NEUROSURGERY CLINICS OF NORTH AMERICA | 2018年 / 29卷 / 02期

关键词：

Intracranial pressure; Intracranial hypertension; Acute brain injury; Cerebral perfusion pressure; Cerebral oxygenation; Brain hypoxia; Multimodal monitoring; Traumatic brain injury; CEREBRAL PERFUSION-PRESSURE; SEVERE HEAD-INJURY; RANDOMIZED CONTROLLED-TRIALS; HYPERTONIC SODIUM SOLUTIONS; DECOMPRESSIVE CRANIECTOMY; OXYGEN-PRESSURE; THERAPEUTIC HYPOTHERMIA; METABOLIC CRISIS; LUMBAR DRAINAGE; BLOOD-FLOW;

D O I：

10.1016/j.nec.2017.12.001

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Monitoring intracranial pressure in comatose patients with severe traumatic brain injury (TBI) is considered necessary by most experts. Acute intracranial hypertension (IHT), when severe and sustained, is a life-threatening complication that demands emergency treatment. Yet, secondary anoxic-ischemic injury after brain trauma can occur in the absence of IHT. In such cases, adding other monitoring modalities can alert clinicians when the patient is in a state of energy failure. This article reviews the mechanisms, diagnosis, and treatment of IHT and brain hypoxia after TBI, emphasizing the need to develop a physiologically integrative approach to the management of these complex situations.

引用

页码：195 / +

页数：19

共 132 条

[1] Neurologic outcome of posttraumatic refractory intracranial hypertension treated with external lumbar drainage [J].

Abadal-Centellas, Josep M. ;

Llompart-Pou, Juan A. ;

Homar-Ramirez, Javier ;

Perez-Barcena, Jon ;

Rossello-Ferrer, Ainhoa ;

Ibanez-Juve, Jordi .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2007, 62 (02) :282-286

[2] Age dependency of resistance to cerebrospinal fluid outflow [J].

Albeck, MJ ;

Skak, C ;

Nielsen, PR ;

Olsen, KS ;

Borgesen, SE ;

Gjerris, F .

JOURNAL OF NEUROSURGERY, 1998, 89 (02) :275-278

[3] THE EFFECT OF INTRACEREBRAL HEMATOMA LOCATION ON THE RISK OF BRAIN-STEM COMPRESSION AND ON CLINICAL OUTCOME [J].

ANDREWS, BT ;

CHILES, BW ;

OLSEN, WL ;

PITTS, LH .

JOURNAL OF NEUROSURGERY, 1988, 69 (04) :518-522

[4] Hypothermia for Intracranial Hypertension after Traumatic Brain Injury [J].

Andrews, Peter J. D. ;

Sinclair, H. Louise ;

Rodriguez, Aryelly ;

Harris, Bridget A. ;

Battison, Claire G. ;

Rhodes, Jonathan K. J. ;

Murray, Gordon D. .

NEW ENGLAND JOURNAL OF MEDICINE, 2015, 373 (25) :2403-2412

[5]

[Anonymous], INTRACRANIAL PRESSUR

[6] Half-molar sodium-lactate: The osmotic agent we are looking for? [J].

Aramendi, I. ;

Manzanares, W. ;

Biestro, A. .

MEDICINA INTENSIVA, 2016, 40 (02) :113-117

[7]

Artru F, 1998, NEUROL RES, V20, pS48

[8] Impact of intracranial pressure and cerebral perfusion pressure on severe disability and mortality after head injury [J].

Balestreri, Marcella ;

Czosnyka, Marek ;

Hutchinson, Peter ;

Steiner, Luzius A. ;

Hiler, Magda ;

Smielewski, Piotr ;

Pickard, John D. .

NEUROCRITICAL CARE, 2006, 4 (01) :8-13

[9] Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit [J].

Barr, Juliana ;

Fraser, Gilles L. ;

Puntillo, Kathleen ;

Ely, E. Wesley ;

Gelinas, Celine ;

Dasta, Joseph F. ;

Davidson, Judy E. ;

Devlin, John W. ;

Kress, John P. ;

Davidson, Judy E. ;

Devlin, John W. ;

Kress, John P. ;

Joffe, Aaron M. ;

Coursin, Douglas B. ;

Herr, Daniel L. ;

Tung, Avery ;

Robinson, Bryce R. H. ;

Fontaine, Dorrie K. ;

Ramsay, Michael A. ;

Riker, Richard R. ;

Sessler, Curtis N. ;

Pun, Brenda ;

Skrobik, Yoanna ;

Jaeschke, Roman .

CRITICAL CARE MEDICINE, 2013, 41 (01) :263-306

[10] Barbiturates for the treatment of intracranial hypertension after traumatic brain injury [J].

Bassin, Sarice L. ;

Bleck, Thomas P. .

CRITICAL CARE, 2008, 12 (05)

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