Brain tissue oxygen monitoring in pediatric patients with severe traumatic brain injury.
Publication/Presentation Date
10-1-2006
Abstract
OBJECT: Intracranial pressure (ICP) and cerebral perfusion pressure (CPP) monitoring are fundamental to the management of severe traumatic brain injury (TBI). In adults, brain tissue oxygen monitoring (specifically PO2) and treatment have been shown to be safe additions to conventional neurocritical care and are associated with improved outcome. Brain tissue oxygen monitoring, however, has not been described in pediatric patients with TBI. In this report, the authors present preliminary experience with the use of ICP and PO2 monitoring in this population.
METHODS: Pediatric patients (age <18 >years) with severe TBI (Glasgow Coma Scale scoreor =40 mm Hg). Data obtained in six patients (two girls and four boys ranging in age from 6-16 years) were analyzed. Brain tissue oxygen levels were significantly higher (p < 0.01) at an ICP of less than 20 mm Hg (PO2 29.29 +/- 7.17 mm Hg) than at an ICP of greater than or equal to 20 mm Hg (PO2 22.83 +/- 13.85 mm Hg). Significant differences (p < 0.01) were also measured when CPP was less than 40 mm Hg (PO2 2.53 +/- 7.98 mm Hg) and greater than or equal to 40 mm Hg (PO2 28.97 +/- 7.85 mm Hg).
CONCLUSIONS: Brain tissue oxygen monitoring may be a safe and useful addition to ICP monitoring in the treatment of pediatric patients with severe TBI.
Volume
105
Issue
4 Suppl
First Page
281
Last Page
286
ISSN
0022-3085
Published In/Presented At
Stiefel, M. F., Udoetuk, J. D., Storm, P. B., Sutton, L. N., Kim, H., Dominguez, T. E., Helfaer, M. A., & Huh, J. W. (2006). Brain tissue oxygen monitoring in pediatric patients with severe traumatic brain injury. Journal of neurosurgery, 105(4 Suppl), 281–286. https://doi.org/10.3171/ped.2006.105.4.281
Disciplines
Medicine and Health Sciences | Pediatrics
PubMedID
17328278
Department(s)
Department of Pediatrics
Document Type
Article