[Analysis of 52 patients with head trauma assisted at pediatric Intensive Care Unit: considerations about intracranial pressure monitoring].
OBJECTIVE
Analysis of 52 pediatric patients with head trauma assisted at Intensive Care Unit; to present considerations about epidemiologic factors of trauma, clinical presentation, tomografic aspects, hemodynamic changes and treatment options of intracranial hypertension; to present considerations about the intracranial pressure (ICP) monitoring.


METHODS
Retrospective study involving 52 patients with head trauma and 17 patients submitted to a ICP monitoring.


RESULTS
We found a male predominance, mean age 7.75 years-old, main cause was run over (38.5%); 21.2% patients presentd arterial hypotension; 67.3% were considered severe head trauma. According to Marshall tomografic grading we had 19.2% type I, 65.4% type II, 3.8% type III, 3.8% type IV and 7.7% type V. Seizures occurred in 25% children ICP monitoring was made in 32.7% of all patients. Mortality rate was 11.5%. In 58% the maximum ICP level occured at the second day of trauma.


CONCLUSIONS
Prognosis was related to severity of trauma, arterial hypotension, Marshall's tomografic gradind III and IV and ICP high values. The ICP monitoring was considered useful to allow the identification and treatment of intracranial hypertension.
Maldaun
Marcos V C
MV
Departamento de Neurocirurgia da Faculdade de Ciências Médicas da Universidade Estadual de Campinas, Campinas, SP, Brasil.
Zambelli
Helder J L
HJ
Dantas
Venâncio P
VP
Fabiani
Renata M
RM
Martins
Aline M
AM
Brandão
Marcelo B
MB
Lopes
Carlos E
CE
Honorato
Donizete C
DC
D002648:Child; D002675:Child, Preschool; D006259:Craniocerebral Trauma / Q000503:physiopathology* / Q000628:therapy; D005260:Female; D006801:Humans; D000860:Hypoxia / Q000517:prevention & control; D007223:Infant; D015278:Intensive Care Units, Pediatric; D019586:Intracranial Hypertension / Q000175:diagnosis / Q000628:therapy; D019585:Intracranial Hypotension / Q000517:prevention & control; D007427:Intracranial Pressure; D008297:Male; D008991:Monitoring, Physiologic; D011379:Prognosis; D012189:Retrospective Studies; D015599:Trauma Severity Indices