Prognosis in neurocritical care

被引：0

作者：

Puybasset, Louis ^{[1
]}

Velly, Lionel ^{[2
]}

Audibert, Gerard ^{[3
]}

Duracher-Gout, Caroline ^{[4
]}

Chevignard, Mathilde ^{[5
]}

机构：

[1] Sorbonne Univ, Hop Pitie Salpetriere, AP HP, INSERM,CNRS,LIB, F-75006 Paris, France

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

[3] Univ Lorraine, CHRU Nancy, Hop Cent, Serv Anesthesie Reanimat, F-54000 Nancy, France

[4] Hop Necker Enfants Malad, AP HP, Serv Anesthesie Reanimat, F-75015 Paris, France

[5] Sorbonne Univ, Hop St Maurice, Serv Med Phys, F-94410 St Maurice, France

来源：

ANESTHESIE & REANIMATION | 2020年 / 6卷 / 01期

关键词：

Neurocritical care; Prognosis; Brain injury; Brain trauma; Stroke; Subarachnoid; haemorrhage; TRAUMATIC BRAIN-INJURY; ANEURYSMAL SUBARACHNOID HEMORRHAGE; CARDIAC TROPONIN ELEVATION; DELAYED CEREBRAL-ISCHEMIA; INTRACEREBRAL HEMORRHAGE; NEUROLOGIC DETERIORATION; CLINICAL-PREDICTION; ACUTE STROKE; OUTCOMES; MORTALITY;

D O I：

10.1016/j.anrea.2019.11.011

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Prognostication after severe brain injury has become difficult because of progress in critical care, which is responsible for patient survival, but at the cost of neurological sequelae. At presentation, initial support should be maximised. Performing prognostication is necessary to answer relatives' questions. Moreover, in case of insufficient recovery, withdrawal of therapy could be suggested but these decisions should be carefully documented. Physicians could rely on clinical signs, CT scans and MRI, electrophysiology and biology. This review will include traumatic brain injury, haemorrhagic stroke and subarachnoid haemorrhage, with a special focus on children.

引用

页码：122 / 130

页数：9

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