Author/Editor		Strojnik, Tadej
Title		Central venous pressure monitoring in patients with severe traumatic brain injury
Type		članek
Source		In: Mendelow A, Chambers IR, Crawford PJ, et al, editors. Evidence based neurotrauma. Proceedings of the 7th Euroacademia multidisciplinaria neurotraumatologica (EMN) congress; 2002 Jun 26-29; Newcastle upon Tyne. Euroacademia multidisciplinaria neurotraumatologica,
Publication year		2002
Volume		str. 227-32
Language		eng
Abstract		The paper presents the relationships between monitored values of the intracranial pressure (ICP), cerebral perfusion pressure (CPP), mean arterial pressure (MAP) and especially central venous pressure (CVP) in the patients who suffered a severe brain injury (SBI). A retrospective study of 41 patients with the SBI (Glasgow Coma Scale - GCS 8 or less) is presented. Patients were treated in the department of ICU and in the neurosurgical department of Maribor General Hospital between 1998 and 2001. Patients were treated according to the European guidelines for the treatment of the patients with the SBI. The collected data are presented as the median, minimal and maximal values. In the analyses we compared the values of ICP, CVP, CPP and MAP, recorded at the same time. Statistical analyses consist of: - the correlation of the ICP with CVP, CPP and MAP and, ii) t-test between a group of patients with poor outcome (Glasgow Outcome Scale - GOS 1-3) and independent patients (GOS 4-5) according to CVP, ICP, CPP, GCS on the admission and prescribed pressors and mannitol. Thirty six patients were male and 5 female with the median age of 27:5 and 61 years, respectively. The main cause of the SBI in the group was traffic accident. Besides the SBI the injury of one or more other organ systems were sustained by 18 patients. Seventeen patients were operated on intracranial mass lesion. The recording periods ranged from 14 to 216 hours (median value 83 hours). The correlation between the ICP and the CVP was significant for all patients, also for patients in the poor outcome group. However, there was a considerable difference between the independent and the poor outcome group according to tCP, CVP, CPP and management with the pressors and mannitol. Pressors were prescribed to 34 and mannitol to 24 patients. (Abstract truncated at 2000 characters)
Descriptors		BRAIN INJURIES CENTRAL VENOUS PRESSURE BLOOD PRESSURE GLASGOW COMA SCALE INTENSIVE CARE UNITS TREATMENT OUTCOME RETROSPECTIVE STUDIES