Transcranial Doppler can predict intracranial hypertension in children with severe traumatic brain injuries

Detalhes bibliográficos
Autor(a) principal: Melo, José Roberto Tude
Data de Publicação: 2011
Outros Autores: Rocco, Federico Di, Blanot, Stéphane, Cuttaree, Harry, Sainte-Rose, Christian, Oliveira-Filho, Jamary, Zerah, Michel, Meyer, Philippe G.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://www.repositorio.ufba.br/ri/handle/ri/5308
Resumo: Acesso restrito: Texto completo. p. 979-984.
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spelling Melo, José Roberto TudeRocco, Federico DiBlanot, StéphaneCuttaree, HarrySainte-Rose, ChristianOliveira-Filho, JamaryZerah, MichelMeyer, Philippe G.Melo, José Roberto TudeRocco, Federico DiBlanot, StéphaneCuttaree, HarrySainte-Rose, ChristianOliveira-Filho, JamaryZerah, MichelMeyer, Philippe G.2012-02-07T17:28:00Z20110256-7040http://www.repositorio.ufba.br/ri/handle/ri/5308v. 27, n. 6.Acesso restrito: Texto completo. p. 979-984.Purpose The purpose of this study is to evaluate the accuracy of emergency Transcranial Doppler (TCD) to predict intracranial hypertension and abnormal cerebral perfusion pressure in children with severe traumatic brain injury (TBI). Patients and methods A descriptive and retrospective cross-sectional study was designed through data collected from medical records of children with severe TBI (Glasgow coma scale 8), admitted to a level I pediatric trauma center,between January 2000 and December 2005. Early TCD examination was performed upon admission, and TCD profiles were considered as altered using previously validated threshold values for diastolic velocity (<25 cm/s) and pulsatility index (>1.31) or when no-flow/backflow was detected. Invasive intracranial pressure (ICP) and cerebral perfusion pressure (CPP) monitoring were considered as the gold standard to measure intracranial hypertension (ICH). Statistical analyses compared TCD profiles to increased ICP( 20 mmHg) and abnormal cerebral perfusion pressure (<50 mmHg) at admission.Results Non-invasive TCD and ICP monitoring were performed in 117 severe head-injured children. Mean age was 7.6±4.4 years, with a male prevalence (71%). Median initial Glasgow coma scale was 6. TCD had 94% of sensitivity to identify ICH at admission and a negative predict value of 95% to identify normal ICP at admission. Its sensitivity to predict abnormal cerebral perfusion pressure was 80%.Conclusions The high sensitivity of admission TCD to predict ICH and abnormal CPP after trauma demonstrates that TCD is an excellent first-line examination to determine those children who need urgent aggressive treatment and continuous invasive ICP monitoring.Submitted by JURANDI DE SOUZA SILVA (jssufba@hotmail.com) on 2012-02-07T17:28:00Z No. of bitstreams: 1 __www.springerlink.com_c...9528175g70847735_fulltext.pdf: 126147 bytes, checksum: 95f54f456f6ba24c19fadb609d612295 (MD5)Made available in DSpace on 2012-02-07T17:28:00Z (GMT). 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dc.title.pt_BR.fl_str_mv Transcranial Doppler can predict intracranial hypertension in children with severe traumatic brain injuries
dc.title.alternative.pt_BR.fl_str_mv Childs neryous system
title Transcranial Doppler can predict intracranial hypertension in children with severe traumatic brain injuries
spellingShingle Transcranial Doppler can predict intracranial hypertension in children with severe traumatic brain injuries
Melo, José Roberto Tude
Traumatic brain injury
Brain lesion
Intracranial pressure
Cerebral perfusion pressure
Children
Transcranial Doppler
title_short Transcranial Doppler can predict intracranial hypertension in children with severe traumatic brain injuries
title_full Transcranial Doppler can predict intracranial hypertension in children with severe traumatic brain injuries
title_fullStr Transcranial Doppler can predict intracranial hypertension in children with severe traumatic brain injuries
title_full_unstemmed Transcranial Doppler can predict intracranial hypertension in children with severe traumatic brain injuries
title_sort Transcranial Doppler can predict intracranial hypertension in children with severe traumatic brain injuries
author Melo, José Roberto Tude
author_facet Melo, José Roberto Tude
Rocco, Federico Di
Blanot, Stéphane
Cuttaree, Harry
Sainte-Rose, Christian
Oliveira-Filho, Jamary
Zerah, Michel
Meyer, Philippe G.
author_role author
author2 Rocco, Federico Di
Blanot, Stéphane
Cuttaree, Harry
Sainte-Rose, Christian
Oliveira-Filho, Jamary
Zerah, Michel
Meyer, Philippe G.
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Melo, José Roberto Tude
Rocco, Federico Di
Blanot, Stéphane
Cuttaree, Harry
Sainte-Rose, Christian
Oliveira-Filho, Jamary
Zerah, Michel
Meyer, Philippe G.
Melo, José Roberto Tude
Rocco, Federico Di
Blanot, Stéphane
Cuttaree, Harry
Sainte-Rose, Christian
Oliveira-Filho, Jamary
Zerah, Michel
Meyer, Philippe G.
dc.subject.por.fl_str_mv Traumatic brain injury
Brain lesion
Intracranial pressure
Cerebral perfusion pressure
Children
Transcranial Doppler
topic Traumatic brain injury
Brain lesion
Intracranial pressure
Cerebral perfusion pressure
Children
Transcranial Doppler
description Acesso restrito: Texto completo. p. 979-984.
publishDate 2011
dc.date.issued.fl_str_mv 2011
dc.date.accessioned.fl_str_mv 2012-02-07T17:28:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://www.repositorio.ufba.br/ri/handle/ri/5308
dc.identifier.issn.none.fl_str_mv 0256-7040
dc.identifier.number.pt_BR.fl_str_mv v. 27, n. 6.
identifier_str_mv 0256-7040
v. 27, n. 6.
url http://www.repositorio.ufba.br/ri/handle/ri/5308
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
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