General care in the management of severe traumatic brain injury: Latin American consensus

Godoy, Daniel Agustín; Videtta, Walter; Cruz, Roberto Santa; Silva, X.; Aguilera-Rodríguez, S.; Carreño-Rodríguez, J.N.; Ciccioli, F.; Piñero, Gustavo; Ciro, J.D.; Re-Gutiérrez, S. da; Domeniconi, G.; Fischer, D.; Hernández, O.; Lacerda-Gallardo, A.; Mejía, J.; Panhke, P.; Romero, Carlos; Lora, Freddy Sandi; Soler-Morejón, Caridad de Dios; Sufan, J.L.; Montes, José María de las Heras; Fuenzalida, L.C.; Parahnos, J.L.; Jibaja, Manuel

doi:10.1016/j.medine.2020.08.003

Cited by 11 publications

(12 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The treatment of severe trauma should focus on keeping breathing unobstructed, hemostasis, limiting activities, fixing injured limbs, replenishing blood volume, and preventing hypovolemic shock. Make patients stay absolutely in bed, add bed baffle, and avoid falling into bed and other accidents [ 10 ]. The respiratory rhythm, heart rate, urine volume, blood pressure, and other indicators of the patients were closely monitored.…”

Section: Methodsmentioning

confidence: 99%

The Value of Emergency Nursing Mode in the Treatment of Patients with Traumatic Shock

Jin-mei

Zhou

Wang

et al. 2022

Journal of Healthcare Engineering

View full text Add to dashboard Cite

Objective. To study the value of emergency nursing mode in patients with traumatic shock. Methods. 76 patients with traumatic shock in our hospital from March 2019 to February 2021 were selected and divided into study group and control group according to different rescue modes, 38 cases in each group. The study group adopted emergency nursing mode for rescue, while the control group adopted routine nursing mode for rescue. The rescue intervention, emergency stay and preoperative preparation time, rescue success rate, emergency rescue effect, complications, and satisfaction rate of patients and their families for rescue were compared between the two groups. Results. The rescue intervention, emergency stay and preoperative preparation time of the study group were significantly shorter than those of the control group, and the difference was statistically significant ( P < 0.05 ). The rescue success rate of the study group was 97.37%, which was significantly higher than 84.21% of the control group, and the difference was statistically significant ( P < 0.05 ). The improvement rate of the study group was significantly higher than that of the control group, the disability rate was significantly lower than that of the control group, the overall emergency rescue effect was better than that of the control group, and the difference was statistically significant ( P < 0.05 ). The incidence of complications in the study group was 2.63%, which was significantly lower than 23.68% in the control group ( P < 0.05 ). The satisfaction rate of patients and their families in the study group was 97.37%, which was significantly higher than 84.21% in the control group ( P < 0.05 ). Conclusion. Emergency nursing mode in patients with traumatic shock owns higher rescue value, can buy time for the operation, improve the success rate and effect of rescue, make safety and satisfaction higher. Overall, for patients with traumatic shock, emergency nursing mode is better than conventional rescue nursing.

show abstract

Section: Methodsmentioning

confidence: 99%

The Value of Emergency Nursing Mode in the Treatment of Patients with Traumatic Shock

Jin-mei

Zhou

Wang

et al. 2022

Journal of Healthcare Engineering

View full text Add to dashboard Cite

show abstract

“…Recently, a group of South American intensivists and neurosurgeons generated consensus guideline recommendations on general critical care measures; no specific recommendations on neuromonitoring modalities were made [ 23 ]. An important topic for further exploration and for the design of local protocols is consideration of a minimally necessary set of neuromonitoring modalities that neurotrauma centers in LMICs could institute within context.…”

Section: Btf Guidelinesmentioning

confidence: 99%

Managing Severe Traumatic Brain Injury Across Resource Settings: Latin American Perspectives

et al. 2023

View full text Add to dashboard Cite

Severe traumatic brain injury (sTBI) is a condition of increasing epidemiologic concern worldwide. Outcomes are worse as observed in low- and middle-income countries (LMICs) versus high-income countries. Global targets are in place to address the surgical burden of disease. At the same time, most of the published literature and evidence on the clinical approach to sTBI comes from wealthy areas with an abundance of resources. The available paradigms, including the Brain Trauma Foundation guidelines, the Seattle International Severe Traumatic Brain Injury Consensus Conference, Consensus Revised Imaging and Clinical Examination, and multimodality approaches, may fit differently depending on local resources, expertise, and sociocultural factors. A first step toward addressing heterogeneity in practice is to consider comparative effectiveness approaches that can capture actual practice patterns and record short-term and long-term outcomes of interest. Decompressive craniectomy (DC) decreases intracranial pressure burden and can be lifesaving. Nevertheless, completed randomized controlled trials took place within high-income settings, leaving important questions unanswered and making extrapolations to LMICs questionable. The concept of preemptive DC specifically to address limited neuromonitoring resources may warrant further study to establish a benefit/risk profile for the procedure and its role within local protocols of care.

show abstract

“…Vasopressors are sometimes necessary and norepinephrine is usually preferred [39,47]. It is always important to rule out ongoing bleeding and other causes of arterial hypotension in patients with refractory shock [48 ▪▪ ]. Systolic cardiac dysfunction is not uncommon.…”

Section: Intensive Care Managementmentioning

confidence: 99%

“…Prevent injuries to the skin and eyes [19,48 ▪▪ ]. Mobilize and to start early enteral nutrition and physiotherapy [19,48 ▪▪ ].…”

Section: Intensive Care Managementmentioning

confidence: 99%

How to manage traumatic brain injury without invasive monitoring?

Godoy

Rabinstein

2022

Current Opinion in Critical Care

View full text Add to dashboard Cite

Purpose of reviewSevere traumatic brain injury (TBI) is an extremely serious health problem, especially in low-middle income countries (LMICs). The prevalence of severe TBI continues to increase in LMICs. Major limitations in the chain of care for TBI patients are common in LMICs including suboptimal or nonexistent prehospital care, overburdened emergency services, lack of trained human resources and limited availability of ICUs. Basic neuromonitoring, such as intracranial pressure, are unavailable or underutilized and advanced techniques are not available. Recent findingsAttention to fundamental principles of TBI care in LMICs, including early categorization, prevention and treatment of secondary insults, use of low-cost technology for evaluation of intracranial bleeding and neuromonitoring, and emphasis on education of human resources and multidisciplinary work, are particularly important in LMICs. Institutional collaborations between high-income and LMICs have developed evidence focused on available resources. Accordingly, an expert group have proposed consensus recommendations for centers without availability of invasive brain monitoring. SummarySevere TBI is very prevalent in LMIC and neuromonitoring is often not available in these environments. When intracranial pressure monitors are not available, careful attention to changes on clinical examination, serial imaging and noninvasive monitoring techniques can help recognize intracranial hypertension and effectively guide treatment decisions.

show abstract

General care in the management of severe traumatic brain injury: Latin American consensus

Cited by 11 publications

References 17 publications

The Value of Emergency Nursing Mode in the Treatment of Patients with Traumatic Shock

The Value of Emergency Nursing Mode in the Treatment of Patients with Traumatic Shock

Managing Severe Traumatic Brain Injury Across Resource Settings: Latin American Perspectives

How to manage traumatic brain injury without invasive monitoring?

Contact Info

Product

Resources

About