Secondary insults during intrahospital transport of neurosurgical intensive care patients.
Secondary insults occurring after injury have been prospectively assessed in seven head-injured patients who required intrahospital transfer to a computerized tomography unit for re-evaluation of their brain injury. During transportation the intracranial pressure, blood pressure, and arterial blood gases were monitored. A significant increase in intracranial pressure was observed during transport (p < 0.01). The conclusion is that patients should be ventilated and have appropriate sedation and analgesia. This could provide some protection against secondary insults.
Bekar
A
A
Uludag University, Department of Neurosurgery, Bursa, Turkey.
Ipekoglu
Z
Z
Türeyen
K
K
Bilgin
H
H
Korfali
G
G
Korfali
E
E
D000328:Adult; D006259:Craniocerebral Trauma / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology; D015600:Glasgow Coma Scale; D006801:Humans; D007427:Intracranial Pressure; D008875:Middle Aged; D008991:Monitoring, Physiologic; D011446:Prospective Studies; D011859:Radiography; D014187:Transportation of Patients