“Roberto Rodríguez” General Teaching Hospital of Moron, Ciego De Avila, Cuba, Neurosurgery and Pediatric Intensive Care Services Pediatric Neuromonitoring in Severe Head Trauma

Among all types of trauma in children, traumatic brain injury has the greatest potential for the development of devastating consequences, with nearly three million affected each year in the world. A controlled, nonrandomized experimental study was carried out in pediatric patients with severe trauma...

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Main Authors: Daysi Abreu Pérez, Angel J. Lacerda Gallardo, Jose Antonio Gálvez
Format: Article
Language:English
Published: Mary Ann Liebert 2024-11-01
Series:Neurotrauma Reports
Subjects:
Online Access:https://www.liebertpub.com/doi/10.1089/neur.2024.0031
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author Daysi Abreu Pérez
Angel J. Lacerda Gallardo
Jose Antonio Gálvez
author_facet Daysi Abreu Pérez
Angel J. Lacerda Gallardo
Jose Antonio Gálvez
author_sort Daysi Abreu Pérez
collection DOAJ
description Among all types of trauma in children, traumatic brain injury has the greatest potential for the development of devastating consequences, with nearly three million affected each year in the world. A controlled, nonrandomized experimental study was carried out in pediatric patients with severe traumatic brain injury, whose objective was to evaluate the use of continuous multimodal neuromonitoring (MMN) of intracranial parameters as a guide in the treatment of children of different age-groups. The patients were divided into two groups according to the treatment received; clinical and imaging monitoring was performed in both. Group I included those whose treatment was guided by MMN of intracranial parameters such as intracranial pressure, cerebral perfusion pressure, and intracranial compliance, and group II included those who had only clinical and imaging monitoring. Eighty patients were studied, 41 in group I and 39 in group II. There were no significant differences between the groups with respect to the sociodemographic variables and the results; as a consequence, both forms of treatment were outlined, for patients with MMN and for those who only have clinical and imaging monitoring. It is concluded that both treatment schemes can be used depending on technological availability, although the scheme with MMN is optimal.
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spelling doaj-art-8d22b50e127d491d93a479195d84d5902025-08-20T02:58:58ZengMary Ann LiebertNeurotrauma Reports2689-288X2024-11-015149751110.1089/neur.2024.0031“Roberto Rodríguez” General Teaching Hospital of Moron, Ciego De Avila, Cuba, Neurosurgery and Pediatric Intensive Care Services Pediatric Neuromonitoring in Severe Head TraumaDaysi Abreu Pérez0Angel J. Lacerda Gallardo1Jose Antonio Gálvez2Department of Pediatric Intensive Care Unit, “Roberto Rodríguez Fernández” General Teaching Hospital of Morón, Ciego de Ávila, Cuba.Department of Neurosurgery, “Roberto Rodríguez Fernández” General Teaching Hospital of Morón, Ciego de Ávila, Cuba.Department of Neurosurgery, General Teaching Hospital of Morón, Ciego de Ávila, Cuba.Among all types of trauma in children, traumatic brain injury has the greatest potential for the development of devastating consequences, with nearly three million affected each year in the world. A controlled, nonrandomized experimental study was carried out in pediatric patients with severe traumatic brain injury, whose objective was to evaluate the use of continuous multimodal neuromonitoring (MMN) of intracranial parameters as a guide in the treatment of children of different age-groups. The patients were divided into two groups according to the treatment received; clinical and imaging monitoring was performed in both. Group I included those whose treatment was guided by MMN of intracranial parameters such as intracranial pressure, cerebral perfusion pressure, and intracranial compliance, and group II included those who had only clinical and imaging monitoring. Eighty patients were studied, 41 in group I and 39 in group II. There were no significant differences between the groups with respect to the sociodemographic variables and the results; as a consequence, both forms of treatment were outlined, for patients with MMN and for those who only have clinical and imaging monitoring. It is concluded that both treatment schemes can be used depending on technological availability, although the scheme with MMN is optimal.https://www.liebertpub.com/doi/10.1089/neur.2024.0031neuromonitoringsevere head traumatreatment of severe head trauma
spellingShingle Daysi Abreu Pérez
Angel J. Lacerda Gallardo
Jose Antonio Gálvez
“Roberto Rodríguez” General Teaching Hospital of Moron, Ciego De Avila, Cuba, Neurosurgery and Pediatric Intensive Care Services Pediatric Neuromonitoring in Severe Head Trauma
Neurotrauma Reports
neuromonitoring
severe head trauma
treatment of severe head trauma
title “Roberto Rodríguez” General Teaching Hospital of Moron, Ciego De Avila, Cuba, Neurosurgery and Pediatric Intensive Care Services Pediatric Neuromonitoring in Severe Head Trauma
title_full “Roberto Rodríguez” General Teaching Hospital of Moron, Ciego De Avila, Cuba, Neurosurgery and Pediatric Intensive Care Services Pediatric Neuromonitoring in Severe Head Trauma
title_fullStr “Roberto Rodríguez” General Teaching Hospital of Moron, Ciego De Avila, Cuba, Neurosurgery and Pediatric Intensive Care Services Pediatric Neuromonitoring in Severe Head Trauma
title_full_unstemmed “Roberto Rodríguez” General Teaching Hospital of Moron, Ciego De Avila, Cuba, Neurosurgery and Pediatric Intensive Care Services Pediatric Neuromonitoring in Severe Head Trauma
title_short “Roberto Rodríguez” General Teaching Hospital of Moron, Ciego De Avila, Cuba, Neurosurgery and Pediatric Intensive Care Services Pediatric Neuromonitoring in Severe Head Trauma
title_sort roberto rodriguez general teaching hospital of moron ciego de avila cuba neurosurgery and pediatric intensive care services pediatric neuromonitoring in severe head trauma
topic neuromonitoring
severe head trauma
treatment of severe head trauma
url https://www.liebertpub.com/doi/10.1089/neur.2024.0031
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