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Journals / Journal of Experimental and Clinical Medicine / 2014 / Cilt: 31 - Sayı: 4

Anesthetic approach in pediatric brain injury

Yunus ATALAY
Cengiz KAYA
Ersin KÖKSAL
Pages
207–212
Publication Date
2015-01-30
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Informing the anesthetists confronting TBI patients in the intensive care unit, during preoperative and peri-operative periods, about important issues related to pathophysiology and treatment of TBI will contribute to the improvements in the prognosis of these patients.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Traumatic brain injury (TBI) is defined as an insult to the brain resulting from external force, leading alteration in brain function, permanent or temporary impaired cognition, wide-spread impairments in motor and behavior function.
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Key Findings & Data:TBI is not only a leading cause of death but it is a significant contributor to disability in pediatric age group.
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Conclusion & Impact:Informing the anesthetists confronting TBI patients in the intensive care unit, during preoperative and peri-operative periods, about important issues related to pathophysiology and treatment of TBI will contribute to the improvements in the prognosis of these patients.
🔬Design:Review & Systematic Survey
📍Scope:2003 Verileri
⚙️Variables:General anesthesia · Neuroanesthesia · Pediatric brain injury

Abstract

Traumatic brain injury (TBI) is defined as an insult to the brain resulting from external force, leading alteration in brain function, permanent or temporary impaired cognition, wide-spread impairments in motor and behavior function. TBI is not only a leading cause of death but it is a significant contributor to disability in pediatric age group. Its sequelae is an important health problem throughout the world. The patients face numerous difficulties to return to a productive life. Improvements in the prognosis continue with its elucidated pathophysiology, technological developments in its monitorization, and sustained scientific research. In 2003, the Society of Critical Care Medicine published the Guidelines for the Acute Medical Management of Severe Traumatic Brain Injury in Infants, Children, and Adolecents and updated the guidelines in 2012 with some significant changes. Pediatric anesthesiologists are frequently faced with the perioperative management of such patients. This article reviews pathophysiology, anesthetic management, hemodynamic support, management of intracranial hypertension of pediatric patients with TBI in the light of current evidence-based medicine. Informing the anesthetists confronting TBI patients in the intensive care unit, during preoperative and peri-operative periods, about important issues related to pathophysiology and treatment of TBI will contribute to the improvements in the prognosis of these patients.

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Cite This Article

ATALAY, Y., KAYA, C., KÖKSAL, E. (2015). Anesthetic approach in pediatric brain injury. Journal of Experimental and Clinical Medicine, Cilt: 31 - Sayı: 4, 207–212. https://ajindex.com/articles/678353

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References (8)

  1. Albanese, J., Vividand, X., Potie, F., Rey, M., Alliez, B., Martin, C., 1999. Sufentanil, fentanyl, and alfentanil in head trauma patients: A study on cerebral hemodynamics. Crit. Care Med. 27, 407-411.
  2. Annane, D., 2005. Icu physicians should abandon the use of etomidate Intensive Care Med. 31, 325-326.
  3. Bar-Joseph, G., Guilburd, Y., Tamir, A., Guilburd, J.N., 2009. Effectiveness of ketamine in decreasing intracranial pressure in children with intracranial hypertension. J. Neurosurg. Pediatr. 4, 40-46.
  4. Bell, M.J., Kochanek, P.M., 2013. Pediatric traumatic brain injury in 2012: The year with new guidelines and common data elements. Crit. Care Clin. 29, 223-238. doi: 10.1016/j.ccc.2012.11.004. Bhalla, T., Dewhirst, E., Dewhirst, Sawardekar, A., Dairo, O., Tobias, J. D., 2012. Perioperative management of the pediatric patient with traumatic brain injury. Paediatr Anaesth. 22, 627-640. doi:10.1111/j.1460-9592.2012.03842.x. Brussel, T., Theissen, J. L., Vigfusson, G., Lunkenheimer, P. P., Van Aken, H., Lawin, P., 1989. Hemodynamic and cardiodynamic effects of propofol and etomidate: Negative inotropic properties of propofol. Anesth. Analg. 69, 35-40.
  5. Chesnut, R.M., Marshall, L.F., Klauber, M.R., Blunt, B.A., Baldwin, N., Eisenberg, H.M., Jane, J.A., Marmarou, A., Foulkes, M.A., 1993. The role of secondary brain injury in determining outcome from severe head injury. J. Trauma 34, 216-222.
  6. Davis, D.P., Koprowicz, K.M., Newgard, C.D., Daya, M., Bulger, E.M., Stiell, I., Nichol, G., Stephens, S., Dreyer, J., Minei, J., Kerby, J.D., 2011. The relationship between out-of-hospital airway management and outcome among trauma patients with glasgow coma scale scores of 8 or Less. Prehosp. Emerg. Care. 15, 184-192. doi: 10.3109/10903127.2010.545473. Davis, D.P., Peay, J., Sise, M.J., Kennedy, F., Simon, F., Tominaga, G., Steele, J., Coimbra, R., 2010. Prehospital airway and ventilation management: A trauma score and injury severity score-based analysis. J. Trauma. 69, 294-301. doi: 10.1097/TA.0b013e3181dc6c7f. Dickman, C.A. Rekate, H.L., 1992. Pediatric spinal trauma. In pediatric trauma, Prevention, Acute Care, Rehabilitation, edited by Eichelberger MH. 362-377.
  7. Fisher, B., Thomas, D., Peterson, B., 1992. Hypertonic saline lowers raised intracranial pressure in children after head trauma. J. Neurosurg Anesthesiol. 4, 4-10.
  8. Gausche, M., Lewis, R.J., Stratton, S.J., Haynes, B.E., Gunter, C.S., Goodrich, S.M., Poore, P.D., McCollough, M.D., Henderson, D.P., Pratt, F.D., Seide