Acercamiento al manejo del traumatismo craneoencefálico severo en pacientes pediátricos

Emily Enríquez-Pérez

doi:10.56294/sctconf202227

Conference abstract

Published: 2022-12-12

DOI: https://doi.org/10.56294/sctconf202227

Rapprochement to the management of severe cranial traumatism in pediatrics patients

Abstract

Introduction: In pediatric ages, the consequences of severe head injuries become more complex and the probability of developing permanent sequelae increases. In addition, mortality is higher than 90%.
Objective: To describe the intensive care and neurosurgical management of pediatric patients with severe traumatic brain injury.
Methods: A search and selection of updated bibliography was made through the portals: SciELO, PubMED and Google Scholar, in the period between February 2 and March 9, 2022. The descriptors "cranial injury", "trauma", "emergencies", "intensive care", "pediatrics" and combinations between them were used, both in Spanish and English, obtaining a total of 32 articles of which 26 were used.
Results: Life-threatening injuries are evaluated first, which transits between paramedical and emergency care. If a mass injury is found, decompression is performed. Otherwise, it is sent to the Pediatric Intensive Care Unit, where complications will be prevented by decreasing cerebral perfusion pressure and maintaining adequate control of the internal milieu.
Conclusions: Management in intensive care is aimed at safeguarding life by balancing the airway, taking care of intracranial pressure, and overriding possible risk factors. For this purpose, first and second line measures are carried out, such as: decompressive craniotomy, sedation mechanisms, anticonvulsant prophylaxis, infection and hypothermia.

Keywords:

Intensive care,

Brain injury,

Head trauma,

Severe trauma,

How to Cite

Enríquez-Pérez E. Rapprochement to the management of severe cranial traumatism in pediatrics patients. Salud, Ciencia y Tecnología - Serie de Conferencias [Internet]. 2022 Dec. 12 [cited 2024 Jun. 29];1:27. Available from: https://conferencias.saludcyt.ar/index.php/sctconf/article/view/27

Copyright Notice

The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.

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