• Neurocritical care · Feb 2024

    Review

    Neuromonitoring in Children with Traumatic Brain Injury.

    • Shruti Agrawal, Francisco Abecasis, and Ibrahim Jalloh.
    • Department of Paediatric Intensive Care, Cambridge University Hospitals National Health Service Foundation Trust, Level 3, Box 7, Addenbrookes Hospital Hills Road, Cambridge, UK. shruti.agrawal1@nhs.net.
    • Neurocrit Care. 2024 Feb 1; 40 (1): 147158147-158.

    AbstractTraumatic brain injury remains a major cause of mortality and morbidity in children across the world. Current management based on international guidelines focuses on a fixed therapeutic target of less than 20 mm Hg for managing intracranial pressure and 40-50 mm Hg for cerebral perfusion pressure across the pediatric age group. To improve outcome from this complex disease, it is essential to understand the pathophysiological mechanisms responsible for disease evolution by using different monitoring tools. In this narrative review, we discuss the neuromonitoring tools available for use to help guide management of severe traumatic brain injury in children and some of the techniques that can in future help with individualizing treatment targets based on advanced cerebral physiology monitoring.© 2023. Crown.

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