Trauma cranioencefálico e síndrome do desconforto respiratório agudo: como ventilar? Avaliação da prática clínica

Saback, Lucas Montano Paternostro; Almeida, Mônica Lajana de; Andrade, Wandalvo

doi:10.1590/s0103-507x2007000100006

Cited by 5 publications

(1 citation statement)

References 9 publications

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“…Patients with moderate or severe TBI can develop abnormal respiratory drive 10 , causing respiratory failure, and they often require prolonged MV 11 . Ventilation and oxygenation must be priorities in the initial management.…”

Section: Introductionmentioning

confidence: 99%

Influence of severity of traumatic brain injury at hospital admission on clinical outcomes

et al. 2018

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Traumatic brain injury (TBI) is a public health problem with high mortality and socioeconomic repercussions. We aimed to investigate the influence of TBI severity on the length of mechanical ventilation (MV) stay and length of hospital stay and on the prevalence of tracheostomy, pneumonia, neurosurgery and death. This retrospective, observational study evaluated medical records of 67 patients with TBI admitted to Irmandade da Santa Casa de Misericórdia de São Paulo. Severity was determined according to the Glasgow Coma Scale (GCS): mild (13-15 points; 36 patients; 53.7%), moderate (9-12 points; 14 patients; 20.9%) or severe (3-8 points; 17 patients; 25.4%). Severe TBI patients had higher prevalence of tracheostomy, pneumonia and neurosurgery. No significant differences were observed between TBI severity, mortality and length of MV stay. However, TBI severity influenced the length of hospital stay. TBI severity at admission, evaluated according to the GCS, influenced the prevalence of tracheostomy, pneumonia, neurosurgery and was associated to prolonged hospital stay.

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Section: Introductionmentioning

confidence: 99%

Influence of severity of traumatic brain injury at hospital admission on clinical outcomes

et al. 2018

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Respiratory Rehabilitation

Gobatto¹,

Simões²,

Martinez³

2018

Topics in Cognitive Rehabilitation in the TBI Post-Hospital Phase

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Incidence of diarrhea and associated risk factors in patients with traumatic brain injury and enteral nutrition

et al. 2018

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To determine the occurrence of diarrhea and associated factors in critically ill patients with traumatic brain injury (TBI) in use of nutritional therapy. Prospective cohort study conducted in an Intensive Care Unit (ICU) of a General Hospital reference in trauma. We evaluated TBI patients who stayed less than 72 h in the ICU, who were using EN for at least 48 h. Definition of diarrhea it was considered three or more episodes of liquid stools or semi-liquid at 24 h. For analysis were evaluated demographic, epidemiological, clinical and nutritional data. Twenty-three patients were evaluated, being 86.9% male, median 33 years old (IQR = 25-52 years) and 16-day ICU stay (IQR = 10-26 days). Diarrhea occurred in 69.6% of the patients and they had a longer time in the ICU (p = 0.007). All patients who used combination prokinetic therapy (metoclopramide and erythromycin) and used antibiotics for more than 8 days had diarrhea (p = 0.057 and p = 0.007, respectively). The incidence of diarrhea was high in TBI patients with enteral nutrition and was associated with the use of antibiotics for more than one week.

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Trauma cranioencefálico e síndrome do desconforto respiratório agudo: como ventilar? Avaliação da prática clínica

Cited by 5 publications

References 9 publications

Influence of severity of traumatic brain injury at hospital admission on clinical outcomes

Influence of severity of traumatic brain injury at hospital admission on clinical outcomes

Respiratory Rehabilitation

Incidence of diarrhea and associated risk factors in patients with traumatic brain injury and enteral nutrition

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