ICP/CPP management · Neuromonitoring · TBI General

Cochrane review of routine ICP measurement in acute coma (2015)

Routine intracranial pressure monitoring in acute coma (Cochrane 2015) A recent review of the available literature, pointing to the lack of sufficient evidence concerning the use of ICP monitoring in acute coma. Only one RCT has been conducted (see here) but this trial was questioned on the grounds of a disproportionally high mortality in both… Continue reading Cochrane review of routine ICP measurement in acute coma (2015)

Airway Management · ICP/CPP management · Neuroprotection · Ventilation and Oxygenation

Lungs, peep and TBI

“…PEEP has no significant effect on cerebral and systemic hemodynamics…” Interesting reading about the effects of peep ! Effects of PEEP on the intracranial system of patients with head injury and subarachnoid hemorrhage: the role of respiratory system compliance. Caricato et al, Italy. The Journal of Trauma, 2005 Mar. Abstract available here.

ICP/CPP management · Lund Concept · Neuroprotection

Cochrane Review – The Lund concept for severe traumatic brain injury

Published in 2013 this Cochrane Review of the Lund Concept for Severe Traumatic Brain Injury by Muzevic and Splavski could not find any high-grade evidence to support the practice associated with this concept. “There was no evidence from randomised controlled trials on the effe cts of the Lund concept in the management of severe traumatic brain injury. This treatment should not… Continue reading Cochrane Review – The Lund concept for severe traumatic brain injury