Controversies of prophylactic hypothermia andthe emerging use of brain tissue oxygen tensionmonitoring and decompressive craniectomy intraumatic brain-injured children

Foster, Kelly ORCID: https://orcid.org/0000-0002-3328-2177 and Stocker, Christian and Schibler, Andreas (2010) Controversies of prophylactic hypothermia andthe emerging use of brain tissue oxygen tensionmonitoring and decompressive craniectomy intraumatic brain-injured children. Australian Critical Care, 23 (1). pp. 4-11. ISSN 1036-7314


Abstract

Background
Despite being the leading cause of death and disability in the paediatric population, traumatic brain injury (TBI) in this group is largely understudied. Clinical practice within the paediatric intensive care unit (PICU) has been based upon adult guidelines however children are significantly different in terms of mechanism, pathophysiology and consequence of injury.

Aim
To review TBI management in the PICU and gain insight into potential management strategies.

Method
To conduct this review, a literature search was conducted using MEDLINE, PUBMED and The Cochrane Library using the following key words; traumatic brain injury; paediatric; hypothermia. There were no date restrictions applied to ensure that past studies, whose principles remain current were not excluded.

Results
Three areas were identified from the literature search and will be discussed against current acknowledged treatment strategies: Prophylactic hypothermia, brain tissue oxygen tension monitoring and decompressive craniectomy.

Conclusion
Previous literature has failed to fully address paediatric specific management protocols and we therefore have little evidence-based guidance. This review has shown that there is an emerging and ongoing trend towards paediatric specific TBI research in particular the area of moderate prophylactic hypothermia (MPH).


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Faculty/School / Institute/Centre: No Faculty
Faculty/School / Institute/Centre: No Faculty
Date Deposited: 10 Dec 2020 05:47
Last Modified: 10 Dec 2020 05:47
Uncontrolled Keywords: Traumatic brain injury; Paediatric; Hypothermia
Fields of Research (2008): 11 Medical and Health Sciences > 1114 Paediatrics and Reproductive Medicine > 111403 Paediatrics
Fields of Research (2020): 42 HEALTH SCIENCES > 4205 Nursing > 420501 Acute care
Identification Number or DOI: https://doi.org/10.1016/j.aucc.2009.11.001
URI: http://eprints.usq.edu.au/id/eprint/40328

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