CLINICAL PRACTICEAudit of transfer of unconscious head-injured patients to a neurosurgical unit
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Cited by (114)
How do i safely transport the critically ill patient?
2019, Evidence-Based Practice of Critical CareHow Do I Transport the Critically Ill Patient?
2010, Evidence-Based Practice of Critical Care: Expert Consult: Online and PrintHow Do I Transport the Critically Ill Patient?
2010, Evidence-Based Practice of Critical CareIntracranial pressure and cerebral blood flow. A pathophysiological and clinical perspective
2009, SurgeryCitation Excerpt :Head tilt: 30° head tilt and neutral positioning of the neck, avoiding venous obstruction, maximizes venous drainage and attenuates rises in ICP while allowing adequate cerebral perfusion.10 Blood pressure and oxygenation: hypoxia and hypotension should be avoided.11 The mean blood pressure should be maintained at >90 mmHg with fluid resuscitation and inotropes, and PaO2 should be maintained at >13.5 kPa.
Inter-hospital transfer of trauma patients in a developing country: A prospective descriptive study
2008, International Journal of SurgeryCitation Excerpt :Many critically ill trauma patients are often transferred to the UHWI from other institutions island wide for investigation and management. It is well known that inter-hospital patient transfer may be a hazardous process that exposes patients to numerous complications including hypoxia, hypotension, hypercarbia, convulsions, intracranial haematoma and neurological deterioration.3–5 Most countries follow existing guidelines to govern the safe transportation of injured patients6–8 but no such guidelines or referral systems exist in Jamaica, where trauma is a major public health problem.9–11
Intracranial pressure and cerebral blood flow
2007, SurgeryCitation Excerpt :Barbiturates have significant side effects, including hypotension secondary to reduced sympathetic tone and cardiotoxicity. Hypoxia and hypotension are associated with poor outcome in severe head injury.7 Widespread use of ICP- and CPP-driven protocols appears to have improved the outcome from traumatic brain injury, although randomized trials in this area do not exist.13,14