Update on the 2012 guidelines for the management of pediatric traumatic brain injury - information for the anesthesiologist.

Update on the 2012 guidelines for the management of pediatric traumatic brain injury - information for the anesthesiologist.
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DOI:
10.1111/pan.12415
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发表时间:
2014-07
期刊:
Paediatric anaesthesia
影响因子:
--
通讯作者:
Vavilala MS
Vavilala MS
中科院分区:
其他
文献类型:
--
作者:
Hardcastle N;Benzon HA;Vavilala MS

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创伤性脑损伤(TBI)是导致儿童死亡和残疾的重要因素。考虑到儿童创伤性脑损伤的患病率,临床医生必须了解这些患者护理的循证建议。《婴儿、儿童和青少年严重创伤性脑损伤急性医学管理指南》第一版于2003年出版。该指南于2012年更新,对高渗治疗、体温控制、过度通气、皮质类固醇、葡萄糖治疗和癫痫预防的建议进行了重大变更。这些干预措施中的许多都涉及围手术期,麻醉师有责任熟悉这些指南。
Traumatic brain injury (TBI) is a significant contributor to death and disability in children. Considering the prevalence of pediatric TBI, it is important for the clinician to be aware of evidence-based recommendations for the care of these patients. The first edition of the Guidelines for the Acute Medical Management of Severe Traumatic Brain Injury in Infants, Children, and Adolescents was published in 2003. The Guidelines were updated in 2012, with significant changes in the recommendations for hyperosmolar therapy, temperature control, hyperventilation, corticosteroids, glucose therapy, and seizure prophylaxis. Many of these interventions have implications in the perioperative period, and it is the responsibility of the anesthesiologist to be familiar with these guidelines.
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