tailieunhanh - Báo cáo khoa học: "Intracranial pressure monitoring in intensive care: clinical advantages of a computerized system over manual recording"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Intracranial pressure monitoring in intensive care: clinical advantages of a computerized system over manual recording. | Available online http content 11 1 R7 Research Intracranial pressure monitoring in intensive care clinical advantages of a computerized system over manual recording Elisa Roncati Zanier Fabrizio Ortolano Laura Ghisoni Angelo Colombo Sabina Losappio and Nino Stocchetti Neurosurgical Intensive Care Unit Department of Anesthesia and Critical Care Medicine Milan University Ospedale Maggiore Policlinico Mangiagalli e Regina Elena Fondazione IRCCS Via Sforza n 35 201 22 Milano Italy Corresponding author Elisa Roncati Zanier ezanier@ Received 19 Oct 2006 Revisions requested 29 Nov 2006 Revisions received 20 Dec 2006 Accepted 18 Jan 2007 Published 18 Jan 2007 Critical Care 2007 11 R7 doi cc5155 This article is online at http content 11 1 R7 2007 Zanier et al licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Open Access Abstract Introduction The presence of intracranial hypertension HICP after traumatic brain injury TBI affects patient outcome. Intracranial pressure ICP data from electronic monitoring equipment are usually calculated and recorded hourly in the clinical chart by trained nurses. Little is known however about how precisely this method reflects the real patterns of ICP after severe TBI. In this study we compared hourly manual recording with a validated and continuous computerized reference standard. Methods Thirty randomly selected patients with severe TBI and HICP admitted to the neuroscience intensive care unit Policlinico University Hospital Milan Italy were retrospectively studied. A 24-hour interval with ICP monitoring was randomly selected for each patient. The manually recorded data available for analysis covered 672 hours corresponding to 36 492 digital data points.

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