Monitoring intracranial pressure utilizing a novel pattern of brain multiparameters in the treatment of severe traumatic brain injury

Hong-tao Sun,1,* Maohua Zheng,2,* Yanmin Wang,1 Yunfeng Diao,1 Wanyong Zhao,1 Zhengjun Wei1 1Sixth Department of Neurosurgery, Affiliated Hospital of Logistics University of People’s Armed Police Force, Tianjin, 2Department of Neurosurgery, The First Hospital of Lanzhou University, Lanzho...

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Autores principales:	Sun H, Zheng M, Wang Y, Diao Y, Zhao W, Wei Z
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	severe traumatic brain injury Mild hypothermia treatment Intracranial pressure Cerebral perfusion pressure Brain tissue partial pressure of oxygen Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/47c9889cc3614a5ea84fdabbee088927
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spelling	oai:doaj.org-article:47c9889cc3614a5ea84fdabbee0889272021-12-02T00:50:40ZMonitoring intracranial pressure utilizing a novel pattern of brain multiparameters in the treatment of severe traumatic brain injury1178-2021https://doaj.org/article/47c9889cc3614a5ea84fdabbee0889272016-06-01T00:00:00Zhttps://www.dovepress.com/monitoring-intracranial-pressure-utilizing-a-novel-pattern-of-brain-mu-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Hong-tao Sun,1,* Maohua Zheng,2,* Yanmin Wang,1 Yunfeng Diao,1 Wanyong Zhao,1 Zhengjun Wei1 1Sixth Department of Neurosurgery, Affiliated Hospital of Logistics University of People’s Armed Police Force, Tianjin, 2Department of Neurosurgery, The First Hospital of Lanzhou University, Lanzhou, People’s Republic of China *These authors contributed equally to this work Abstract: The aim of the study was to evaluate the clinical value of multiple brain parameters on monitoring intracranial pressure (ICP) procedures in the therapy of severe traumatic brain injury (sTBI) utilizing mild hypothermia treatment (MHT) alone or a combination strategy with other therapeutic techniques. A total of 62 patients with sTBI (Glasgow Coma Scale score <8) were treated using mild hypothermia alone or mild hypothermia combined with conventional ICP procedures such as dehydration using mannitol, hyperventilation, and decompressive craniectomy. The multiple brain parameters, which included ICP, cerebral perfusion pressure, transcranial Doppler, brain tissue partial pressure of oxygen, and jugular venous oxygen saturation, were detected and analyzed. All of these measures can control the ICP of sTBI patients to a certain extent, but multiparameters associated with brain environment and functions have to be critically monitored simultaneously because some procedures of reducing ICP can cause side effects for long-term recovery in sTBI patients. The result suggested that multimodality monitoring must be performed during the process of mild hypothermia combined with conventional ICP procedures in order to safely target different clinical methods to specific patients who may benefit from an individual therapy. Keywords: mild hypothermia treatment, cerebral perfusion pressure, brain tissue partial pressure of oxygenSun HZheng MWang YDiao YZhao WWei ZDove Medical Pressarticlesevere traumatic brain injuryMild hypothermia treatmentIntracranial pressureCerebral perfusion pressureBrain tissue partial pressure of oxygenNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2016, Iss Issue 1, Pp 1517-1523 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	severe traumatic brain injury Mild hypothermia treatment Intracranial pressure Cerebral perfusion pressure Brain tissue partial pressure of oxygen Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	severe traumatic brain injury Mild hypothermia treatment Intracranial pressure Cerebral perfusion pressure Brain tissue partial pressure of oxygen Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Sun H Zheng M Wang Y Diao Y Zhao W Wei Z Monitoring intracranial pressure utilizing a novel pattern of brain multiparameters in the treatment of severe traumatic brain injury
description	Hong-tao Sun,1,* Maohua Zheng,2,* Yanmin Wang,1 Yunfeng Diao,1 Wanyong Zhao,1 Zhengjun Wei1 1Sixth Department of Neurosurgery, Affiliated Hospital of Logistics University of People’s Armed Police Force, Tianjin, 2Department of Neurosurgery, The First Hospital of Lanzhou University, Lanzhou, People’s Republic of China *These authors contributed equally to this work Abstract: The aim of the study was to evaluate the clinical value of multiple brain parameters on monitoring intracranial pressure (ICP) procedures in the therapy of severe traumatic brain injury (sTBI) utilizing mild hypothermia treatment (MHT) alone or a combination strategy with other therapeutic techniques. A total of 62 patients with sTBI (Glasgow Coma Scale score <8) were treated using mild hypothermia alone or mild hypothermia combined with conventional ICP procedures such as dehydration using mannitol, hyperventilation, and decompressive craniectomy. The multiple brain parameters, which included ICP, cerebral perfusion pressure, transcranial Doppler, brain tissue partial pressure of oxygen, and jugular venous oxygen saturation, were detected and analyzed. All of these measures can control the ICP of sTBI patients to a certain extent, but multiparameters associated with brain environment and functions have to be critically monitored simultaneously because some procedures of reducing ICP can cause side effects for long-term recovery in sTBI patients. The result suggested that multimodality monitoring must be performed during the process of mild hypothermia combined with conventional ICP procedures in order to safely target different clinical methods to specific patients who may benefit from an individual therapy. Keywords: mild hypothermia treatment, cerebral perfusion pressure, brain tissue partial pressure of oxygen
format	article
author	Sun H Zheng M Wang Y Diao Y Zhao W Wei Z
author_facet	Sun H Zheng M Wang Y Diao Y Zhao W Wei Z
author_sort	Sun H
title	Monitoring intracranial pressure utilizing a novel pattern of brain multiparameters in the treatment of severe traumatic brain injury
title_short	Monitoring intracranial pressure utilizing a novel pattern of brain multiparameters in the treatment of severe traumatic brain injury
title_full	Monitoring intracranial pressure utilizing a novel pattern of brain multiparameters in the treatment of severe traumatic brain injury
title_fullStr	Monitoring intracranial pressure utilizing a novel pattern of brain multiparameters in the treatment of severe traumatic brain injury
title_full_unstemmed	Monitoring intracranial pressure utilizing a novel pattern of brain multiparameters in the treatment of severe traumatic brain injury
title_sort	monitoring intracranial pressure utilizing a novel pattern of brain multiparameters in the treatment of severe traumatic brain injury
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/47c9889cc3614a5ea84fdabbee088927
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Monitoring intracranial pressure utilizing a novel pattern of brain multiparameters in the treatment of severe traumatic brain injury

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