Citation

Lovett ME, O'Brien NF, Leonard JR. Pediatr. Neurol. 2019; 94: 3-20.

Affiliation

Division of Neurosurgery, Nationwide Children's Hospital, Columbus, Ohio.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.pediatrneurol.2018.12.003

PMID

30765136

Abstract

Severe traumatic brain injury is a leading cause of morbidity and mortality in children. In 2003 the Brain Trauma Foundation released guidelines that have since been updated (2010) and have helped standardize and improve care. One area of care that remains controversial is whether the placement of an intracranial pressure monitor is advantageous in the management of traumatic brain injury. Another aspect of care that is widely debated is whether management after traumatic brain injury should be based on intracranial pressure-directed therapy, cerebral perfusion pressure-directed therapy, or a combination of the two. The aim of this article was to provide an overview and review the current evidence regarding these questions.

Copyright © 2019 Elsevier Inc. All rights reserved.

Language: en

Keywords

Cerebral perfusion pressure; ICP monitor; Intracranial pressure; Pediatric; Traumatic brain injury