Wiener klinische Wochenschrift
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Wien. Klin. Wochenschr. · Feb 2007
Multicenter StudySevere traumatic brain injury in Austria V: CT findings and surgical management.
The aim of this paper is to describe CT findings and surgical management of patients with severe traumatic brain injury (TBI) in Austria. ⋯ ICP monitoring seems to be beneficial in both operatively and non-operatively treated patients with severe TBI. Patients with SDH who were operated on had significantly better outcomes. In patients with SDH, their outcome after osteoclastic surgery was significantly better than after osteoplastic procedures.
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Wien. Klin. Wochenschr. · Feb 2007
Multicenter StudySevere traumatic brain injury in Austria III: prehospital status and treatment.
The goal of this paper is to describe prehospital status and treatment of patients with severe TBI in Austria. ⋯ Age, ISS, and initial neuro status are the factors most closely associated with outcome. Hypotension must be avoided. Fluids should be given to restore and/or maintain SBP > 110 mm Hg. Helicopter transport should be arranged for more seriously injured patients.
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Wien. Klin. Wochenschr. · Feb 2007
Multicenter StudySevere traumatic brain injury in Austria IV: intensive care management.
The goal of this paper is to describe the ICU management of severe traumatic brain injury (TBI) in Austria. ⋯ Our study showed that ICU management of patients with severe TBI mostly follows international guidelines, and that outcome was comparable to or even better than that reported by other authors. Low CPP was associated with poor outcome, and was more often due to low MAP than to elevated ICP. The use of barbiturates and hypertonic saline was more common than expected. CPP should be maintained > 50 mm Hg, the use of catecholamines, fluid loading, barbiturates (short-term), moderate hyperventilation, hypertonic saline, and insulin may improve outcome after severe TBI.
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Wien. Klin. Wochenschr. · Feb 2007
"Oldest old" patients in intensive care: prognosis and therapeutic activity.
In view of ethical considerations and the limited resources in intensive care medicine, the present investigation aims to give a descriptive overview of the prognosis and therapeutic activity for the oldest age group of elderly patients admitted to an intensive care unit (ICU) in comparison with younger ICU patients. ⋯ Within the very elderly population, age is an important and independent predictor of mortality, but acute severity of illness is even more strongly associated with mortality. Consequently, age alone may be an inappropriate criterion for allocation of ICU resources.