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Curr Neurol Neurosci Rep · Mar 2006
ReviewControversies in the care of children with acute brain injury.
- Steven Weinstein.
- Department of Neurology, Children's National Medical Center, 111 Michigan Avenue NW, Washington, DC 20010, USA. sweinste@cnmc.org
- Curr Neurol Neurosci Rep. 2006 Mar 1;6(2):127-35.
AbstractCare of children with acute brain injury is evolving from mere observation to active intervention that requires intensive care units focused on the nervous system primarily and other organs secondarily. The physical examination supplemented by neuroimaging, invasive monitoring, and an improved understanding of the mechanisms of injury allows for the development of rational therapies. This paper reviews common bedside controversies in care, including initial assessments and outcomes, as well as the prevention of secondary injury through the maintenance of brain oxygen and energy and the treatment of cerebral edema. The advantages and disadvantages of frequently utilized techniques are identified.
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