Routine intracranial pressure monitoring in acute coma.
Cochrane Database Syst Rev
; (2): CD002043, 2010 Feb 17.
Article
em En
| MEDLINE
| ID: mdl-20166062
ABSTRACT
BACKGROUND:
Studies in traumatic encephalopathy first led to the insight that the damage seen was not just due to direct consequences of the primary injury. A significant, and potentially preventable, contribution to the overall morbidity arose from secondary hypoxic-ischaemic damage. Brain swelling accompanied by raised intracranial pressure (ICP) resulted in inadequate cerebral perfusion with well-oxygenated blood. Detection of raised ICP could be useful in alerting clinicians to the need to improve cerebral perfusion, with consequent reductions in brain injury.OBJECTIVES:
To determine whether routine ICP monitoring in all acute cases of severe coma reduces the risk of all-cause mortality or severe disability at final follow-up. SEARCH STRATEGY We searched the Cochrane Injuries Group's Specialised Register (searched 7 April 2009), CENTRAL (The Cochrane Library 2009, Issue 1), MEDLINE 1950 to March week 4 2009, EMBASE 1980 to week 14 March 2009, CINAHL 1982 to March 2009, ISI Web of Science Science Citation Index Expanded (SCI-EXPANDED) 1970 to March 2009, Conference Proceedings Citation Index- Science (CPCI-S) 1990 to March 2009, PubMed (searched 7 April 2009, limit; added in last 6 months). The searches were last updated in April 2009. SELECTION CRITERIA All randomised controlled studies of real-time ICP monitoring by invasive or semi-invasive means in acute coma (traumatic or non-traumatic aetiology) versus no ICP monitoring (that is, clinical assessment of ICP). DATA COLLECTION ANDANALYSIS:
Primary outcome measures were all-cause mortality and severe disability at the end of the follow-up period. MAINRESULTS:
No studies meeting the selection criteria have been identified to date. AUTHORS'CONCLUSIONS:
There are no data from randomised controlled trials that can clarify the role of ICP monitoring in acute coma.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Circulação Cerebrovascular
/
Coma
/
Hipertensão Intracraniana
Idioma:
En
Ano de publicação:
2010
Tipo de documento:
Article