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儿童患者严重创伤性脑损伤的管理:基于证据的方法

Ana Paula de Carvalho Panzeri Carlotti¹, Vivian Henriques do Amaral², Ana Paula de Carvalho Canela Balzi²

¹Division of Critical Care Medicine, Department of Pediatrics, Hospital das Clínicas, Ribeirão Preto Medical School, University of São Paulo, Avenida dos Bandeirantes, 3900, Ribeirão Preto, SP, 14049-900, Brazil. apcarlotti@fmrp.usp.br.

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology

|October 30, 2024

概括

这项研究提供了14项基于证据的建议,用于管理儿童严重创伤性脑损伤 (TBI),旨在标准化儿童TBI患者的护理和改善治疗结果.

科学领域:

儿科重症监护医学儿科重症监护医学
神经创伤管理管理神经创伤
基于证据的医学基于证据的医学

背景情况:

严重创伤性脑损伤 (TBI) 是全球死亡和残疾的重要原因.
对TBI患者的医疗管理的变化可能导致不理想的结果.
在严重的TBI病例中,最大限度地减少二次脑损伤至关重要.

研究的目的:

为儿童严重TBI的管理制定基于证据的建议.
解决儿科TBI临床实践中的差异.
为照顾严重TBI儿童的医疗保健从业人员提供指导.

主要方法:

一个多学科小组对TBI管理进行了为期18个月的全面审查.
人口,干预,控制和结果 (PICO) 格式用于确定关键问题.
决策证据 (EtD) 框架指导了干预措施的评估.

主要成果:

针对儿童严重的TBI,制定了14条基于证据的建议.
建议涵盖了九个关键的管理主题,包括成像,神经监测和治疗干预.
对每个主题确定了临床建议和研究重点.

结论:

本综述综合了指导重度TBI儿童护理的证据.
这些建议旨在标准化和提高儿童TBI护理的质量.
提供基于证据的策略,以支持儿科神经创伤的临床决策.

关键词:

基于证据的证据.管理管理管理管理监控监控监控监控创伤性脑损伤是一种创伤性脑损伤.

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Traumatic Brain Injury l: Introduction

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DefinitionTraumatic brain injury, or TBI, is a disturbance of normal brain function induced by an external mechanical force, such as a direct blow to the head or a penetrating injury. It can affect both brain structure and function, producing a wide range of clinical outcomes. TBI is a heterogeneous condition, meaning its effects may differ based on the type, location, and severity of the injury.Basis of ClassificationTBI is classified based on severity, injury mechanism, or pathophysiology. In...