ICP monitoring in children: why are we not adhering to guidelines?

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• 作者：Nadia Roumeliotis ; Géraldine Pettersen ; Louis Crevier…
• 关键词：Traumatic brain injury ; Pediatric ; Intracranial pressure monitoring ; Practice guidelines ; Glasgow coma score
• 刊名：Child's Nervous System
• 出版年：2015
• 出版时间：November 2015
• 年：2015
• 卷：31
• 期：11
• 页码：2011-2014
• 全文大小：312 KB
• 参考文献：1.Centre for Disease Control and Prevention. National Center from Prevention and Injury Control (2012) 10 leading causes of death by age group. http://​www.​cdc.​gov/​injury/​wisqars/​pdf/​leading_​causes_​of_​death_​by_​age_​group_​2012-a.​pdf . Accessed 4 June 2015
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• 作者单位：Nadia Roumeliotis (1)
  Géraldine Pettersen (1)
  Louis Crevier (2)
  Guillaume Émeriaud (1)
  
  1. Department of Critical Care, Sainte-Justine Hospital, University of Montréal, 3175 Cote Sainte-Catherine, Montréal, Québec, Canada, H3T 1C5
  2. Department of Neurosurgery, Sainte-Justine Hospital, University of Montréal, 3175 Cote Sainte-Catherine, Montréal, Québec, Canada, H3T 1C5
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Neurosurgery
  Neurosciences
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1433-0350

文摘

Background Despite pediatric guidelines, variability exists in the management of severe traumatic brain injury (TBI), as somewhere between 7 and 60 % of children undergo intracranial pressure (ICP) monitoring. Reasons for this low adherence to TBI management guidelines remain unclear. The objective of this study was to evaluate the current practices at CHU Sainte-Justine with regards to ICP monitoring in severe TBI and explore the reasons why ICP monitoring is not undertaken.