Intracranial Pressure Changes During Intrahospital Transports of Neurocritically Ill Patients
| العنوان: | Intracranial Pressure Changes During Intrahospital Transports of Neurocritically Ill Patients |
|---|---|
| المؤلفون: | Jens Kleffmann, Roman Pahl, Christian L. Roth, Wolfgang Deinsberger, Andreas Ferbert |
| المصدر: | Neurocritical Care. 25:440-445 |
| بيانات النشر: | Springer Science and Business Media LLC, 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | Adult, Male, Mean arterial pressure, Critical Care, Intracranial Pressure, Critical Illness, Computed tomography, Critical Care and Intensive Care Medicine, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Heart rate, Humans, Medicine, Statistical analysis, Cerebral perfusion pressure, Aged, Intracranial pressure, Oxygen saturation (medicine), medicine.diagnostic_test, business.industry, Critically ill, musculoskeletal, neural, and ocular physiology, 030208 emergency & critical care medicine, Middle Aged, Neurophysiological Monitoring, Transportation of Patients, Anesthesia, Female, Neurology (clinical), business, 030217 neurology & neurosurgery |
| الوصف: | Intrahospital transport is associated with a high rate of complications. Investigations of this problem using neuromonitoring remain scarce. This is a monocentric, prospective observational study. Patients with severe brain diseases and intracranial pressure (ICP) monitoring were included. Continuous monitoring of ICP, cerebral perfusion pressure (CPP), oxygen saturation (SpO2), heart rate, and mean arterial pressure was measured during seven different periods of intrahospital transport (baseline for 30 min, I = preparation, II = transport I, III = CT scan, IV = transport II, V = postprocessing, and follow-up for another 30 min). All complications were documented. Between July 2013 and December 2013, a total number of 56 intrahospital transports of 43 patients were performed from ICU to CT. Data recording was incomplete in six cases. Fifty transports have been taken into account for statistical analysis. Forty-two percent were emergency transports. Mean duration of the procedure was 17′ (preparation), 6′ (transport I), 9′ (CT scan), 6′ (transport II), and 15′ (postprocessing), respectively. Mean ICP at baseline was 8.53 mmHg. Comparing all periods of intrahospital transport and the follow-up period to the baseline showed a significant increase of ICP only during CT scan (15.83 mmHg, p |
| تدمد: | 1556-0961 1541-6933 |
| DOI: | 10.1007/s12028-016-0274-6 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a7285f36b5e31bf06ce10aaaaddd47f2 https://doi.org/10.1007/s12028-016-0274-6 |
| Rights: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....a7285f36b5e31bf06ce10aaaaddd47f2 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15560961 15416933 |
|---|---|
| DOI: | 10.1007/s12028-016-0274-6 |