Practical and comprehensive guidelines for bedside cerebral hemometabolic multitherapeutic optimization
Autor(a) principal: | |
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Data de Publicação: | 2002 |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos de neuro-psiquiatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2002000400031 |
Resumo: | In recent years, noncomprehensive "guidelines" were proposed for the management of severe acute brain injuries, focusing strictly on two approaches: 1) to maintain cerebral perfusion pressure anywhere above 70 mm Hg; and 2) to maintain arterial carbon dioxide tension levels above 30 torr. Strictly following these propositions, a recently reported prospective controlled study addressed mortality rates of no less than 75-76%, far worse than mortality rates reported before those "guidelines" were published. As a humanitarian alternative, the present comprehensive guidelines are aimed at addressing practical bedside strategies to manage no only intracranial pressure and cerebral perfusion pressure but also cerebral extraction of oxygen, based on solid previously reported papers which revealed the lowest mortality rates (below 15%) in the pertinent literature, in recent years. |
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Practical and comprehensive guidelines for bedside cerebral hemometabolic multitherapeutic optimizationcerebral extraction of oxygenintracranial pressureguidelineshead injuryIn recent years, noncomprehensive "guidelines" were proposed for the management of severe acute brain injuries, focusing strictly on two approaches: 1) to maintain cerebral perfusion pressure anywhere above 70 mm Hg; and 2) to maintain arterial carbon dioxide tension levels above 30 torr. Strictly following these propositions, a recently reported prospective controlled study addressed mortality rates of no less than 75-76%, far worse than mortality rates reported before those "guidelines" were published. As a humanitarian alternative, the present comprehensive guidelines are aimed at addressing practical bedside strategies to manage no only intracranial pressure and cerebral perfusion pressure but also cerebral extraction of oxygen, based on solid previously reported papers which revealed the lowest mortality rates (below 15%) in the pertinent literature, in recent years.Academia Brasileira de Neurologia - ABNEURO2002-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2002000400031Arquivos de Neuro-Psiquiatria v.60 n.3A 2002reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/S0004-282X2002000400031info:eu-repo/semantics/openAccessCruz,Julioeng2002-09-10T00:00:00Zoai:scielo:S0004-282X2002000400031Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2002-09-10T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse |
dc.title.none.fl_str_mv |
Practical and comprehensive guidelines for bedside cerebral hemometabolic multitherapeutic optimization |
title |
Practical and comprehensive guidelines for bedside cerebral hemometabolic multitherapeutic optimization |
spellingShingle |
Practical and comprehensive guidelines for bedside cerebral hemometabolic multitherapeutic optimization Cruz,Julio cerebral extraction of oxygen intracranial pressure guidelines head injury |
title_short |
Practical and comprehensive guidelines for bedside cerebral hemometabolic multitherapeutic optimization |
title_full |
Practical and comprehensive guidelines for bedside cerebral hemometabolic multitherapeutic optimization |
title_fullStr |
Practical and comprehensive guidelines for bedside cerebral hemometabolic multitherapeutic optimization |
title_full_unstemmed |
Practical and comprehensive guidelines for bedside cerebral hemometabolic multitherapeutic optimization |
title_sort |
Practical and comprehensive guidelines for bedside cerebral hemometabolic multitherapeutic optimization |
author |
Cruz,Julio |
author_facet |
Cruz,Julio |
author_role |
author |
dc.contributor.author.fl_str_mv |
Cruz,Julio |
dc.subject.por.fl_str_mv |
cerebral extraction of oxygen intracranial pressure guidelines head injury |
topic |
cerebral extraction of oxygen intracranial pressure guidelines head injury |
description |
In recent years, noncomprehensive "guidelines" were proposed for the management of severe acute brain injuries, focusing strictly on two approaches: 1) to maintain cerebral perfusion pressure anywhere above 70 mm Hg; and 2) to maintain arterial carbon dioxide tension levels above 30 torr. Strictly following these propositions, a recently reported prospective controlled study addressed mortality rates of no less than 75-76%, far worse than mortality rates reported before those "guidelines" were published. As a humanitarian alternative, the present comprehensive guidelines are aimed at addressing practical bedside strategies to manage no only intracranial pressure and cerebral perfusion pressure but also cerebral extraction of oxygen, based on solid previously reported papers which revealed the lowest mortality rates (below 15%) in the pertinent literature, in recent years. |
publishDate |
2002 |
dc.date.none.fl_str_mv |
2002-09-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2002000400031 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2002000400031 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0004-282X2002000400031 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
dc.source.none.fl_str_mv |
Arquivos de Neuro-Psiquiatria v.60 n.3A 2002 reponame:Arquivos de neuro-psiquiatria (Online) instname:Academia Brasileira de Neurologia instacron:ABNEURO |
instname_str |
Academia Brasileira de Neurologia |
instacron_str |
ABNEURO |
institution |
ABNEURO |
reponame_str |
Arquivos de neuro-psiquiatria (Online) |
collection |
Arquivos de neuro-psiquiatria (Online) |
repository.name.fl_str_mv |
Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia |
repository.mail.fl_str_mv |
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