title: [Neuromonitoring of severe craniocerebral trauma in paediatric patients].
abstract: BACKGROUND
  Severe craniocerebral trauma is the main cause of morbidity and mortality in children worldwide. Neuromonitoring of these patients in Cuba is not routine in paediatric intensive cares units, and there is no standardised protocol for its use in these units.
  
  
  METHODS
  A correlational longitudinal prospective study was conducted on all patients admitted to the paediatric intensive care unit with the diagnosis of severe craniocerebral trauma in the period between January 2003 and December 2014. Continuous neuromonitoring of intracranial pressure and cerebral perfusion pressure was carried out.
  
  
  RESULTS
  The results showed that there was a correlation between the initial images of CT scan and the grade of shift of the half line structures. There was a direct relationship between intracranial pressure and the outcomes. The use of early decompressive craniectomy facilitated the rapid control of the intracranial hypertension.
  
  
  CONCLUSIONS
  Continuous neuromonitoring contributes to adopt a therapeutic posture in the handling of the paediatric patients with severe head trauma.
authors.affiliation: Unidad de Cuidados Intensivos Pediátricos, Hospital Universitario "Roberto Rodríguez" de Morón, Ciego de Ávila, Cuba.
authors.forename: Daisy
authors.initials: D
authors.lastname: Abreu Pérez
authors.affiliation: Servicio de Neurocirugía. Hospital Universitario "Roberto Rodríguez" de Morón, Ciego de Ávila, Cuba. Electronic address: ajlacerda@hgm.cav.sld.cu.
authors.forename: Angel Jesús
authors.initials: AJ
authors.lastname: Lacerda Gallardo
authors.affiliation: Servicio de Neurocirugía. Hospital Universitario "Roberto Rodríguez" de Morón, Ciego de Ávila, Cuba.
authors.forename: Julio Antonio Díaz
authors.initials: JA
authors.lastname: Agramonte
authors.affiliation: Servicio de Neurocirugía. Hospital Universitario "Roberto Rodríguez" de Morón, Ciego de Ávila, Cuba.
authors.forename: Daiyan Martín
authors.initials: DM
authors.lastname: Chaviano
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006259:Craniocerebral Trauma / Q000503:physiopathology*; D006801:Humans; D007223:Infant; D015601:Injury Severity Score; D007427:Intracranial Pressure; D008137:Longitudinal Studies; D064926:Neurophysiological Monitoring; D011446:Prospective Studies
keywords: Neuromonitoring; Neuromonitorización; Severe head trauma; Tratamiento; Traumatismo craneal severo; Treatment