急诊科对脑创伤基金会小儿重型脑损伤指南建议的实施情况。

Emergency Department Implementation of the Brain Trauma Foundation's Pediatric Severe Brain Injury Guideline Recommendations.

作者信息

Lumba-Brown Angela, Totten Annette, Kochanek Patrick M

机构信息

From the Department of Emergency Medicine, Stanford Brain Performance Center, Stanford University School of Medicine, Stanford, CA.

Pacific Northwest Evidence-based Practice Center, Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, OR.

出版信息

Pediatr Emerg Care. 2020 Apr;36(4):e239-e241. doi: 10.1097/PEC.0000000000001903.

DOI:10.1097/PEC.0000000000001903

PMID:31804428

Abstract

The "Guidelines for the Management of Pediatric Severe Traumatic Brain Injury, Third Edition: Update of the Brain Trauma Foundation Guidelines" published in Pediatric Critical Care Medicine in 2019 provides new and updated recommendations applicable to the emergency department management of children with severe traumatic brain injury. Practice-changing takeaways include specific recommendations for administration of 3% hypertonic saline, administration of seizure prophylaxis, and avoiding hyperventilation.

摘要

2019年发表于《儿科危重症医学》的《小儿重度创伤性脑损伤管理指南，第三版：脑创伤基金会指南更新》提供了适用于重度创伤性脑损伤患儿急诊科管理的新的和更新的建议。改变实践的要点包括关于给予3%高渗盐水、给予癫痫预防措施以及避免过度通气的具体建议。