scholarly journals Passive leg raising in brain injury patients within the neurointensive care unit. A prospective trial

2021 ◽  
Vol 53 (3) ◽  
pp. 200-206
Author(s):  
Marlies Bauer ◽  
Daniel Basic ◽  
Marina Riedmann ◽  
Elke Muench ◽  
Ludwig Schuerer ◽  
...  
Keyword(s):  
Brain Injury ◽  
Prospective Trial ◽  
Passive Leg Raising ◽  
Neurointensive Care ◽  
Neurointensive Care Unit

P11.15 Continuous EEG-SEP monitoring of acute brain injury in neurointensive care unit

2011 ◽  
Vol 122 ◽  
pp. S114
Author(s):  
S. Fossi ◽  
R. Carrai ◽  
A. Amadori ◽  
L. Bucciardini ◽  
P. Innocenti ◽  
...  
Keyword(s):  
Brain Injury ◽  
Acute Brain Injury ◽  
Neurointensive Care ◽  
Neurointensive Care Unit ◽  
Continuous Eeg ◽  
Sep Monitoring

Testing a Reality Orientation Program in Patients With Traumatic Brain Injury in a Neurointensive Care Unit

2015 ◽  
Vol 47 (1) ◽  
pp. E2-E10 ◽  
Author(s):  
Leanne Langhorn ◽  
Dorte Holdgaard ◽  
Lene Worning ◽  
Jens C. Sørensen ◽  
Preben U. Pedersen
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Neurointensive Care ◽  
Orientation Program ◽  
Neurointensive Care Unit ◽  
Reality Orientation

scholarly journals Early Orthostatic Exercise by Head-Up Tilt With Stepping vs. Standard Care After Severe Traumatic Brain Injury Is Feasible

2021 ◽  
Vol 12 ◽  
Author(s):  
Christian Gunge Riberholt ◽  
Markus Harboe Olsen ◽  
Christian Baastrup Søndergaard ◽  
Christian Gluud ◽  
Christian Ovesen ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Adverse Events ◽  
Severe Traumatic Brain Injury ◽  
Standard Care ◽  
Randomized Clinical Trials ◽  
Neurointensive Care ◽  
Control Group ◽  
Neurointensive Care Unit

Background: Intensive rehabilitation of patients after severe traumatic brain injury aims to improve functional outcome. The effect of initiating rehabilitation in the early phase, in the form of head-up mobilization, is unclear.Objective: To assess whether early mobilization is feasible and safe in patients with traumatic brain injury admitted to a neurointensive care unit.Methods: This was a randomized parallel-group clinical trial, including patients with severe traumatic brain injury (Glasgow coma scale <11 and admission to the neurointensive care unit). The intervention consisted of daily mobilization on a tilt-table for 4 weeks. The control group received standard care. Outcomes were the number of included participants relative to all patients with traumatic brain injury who were approached for inclusion, the number of conducted mobilization sessions relative to all planned sessions, as well as adverse events and reactions. Information on clinical outcome was collected for exploratory purposes.Results: Thirty-eight participants were included (19 in each group), corresponding to 76% of all approached patients [95% confidence interval (CI) 63–86%]. In the intervention group, 74% [95% CI 52–89%] of planned sessions were carried out. There was no difference in the number of adverse events, serious adverse events, or adverse reactions between the groups.Conclusions: Early head-up mobilization is feasible in patients with severe traumatic brain injury. Larger randomized clinical trials are needed to explore potential benefits and harms of such an intervention.Clinical Trial Registration: [ClinicalTrials.gov], identifier [NCT02924649]. Registered on 3rd October 2016.

FC29.3 Monitoring of acute brain injury in neurointensive care unit : Neurophysiological and ICP correlation with outcome

2006 ◽  
Vol 117 ◽  
pp. 1
Author(s):  
S. Fossi ◽  
A. Amantini ◽  
A. Grippo ◽  
C. Cossu ◽  
P. Innocenti ◽  
...  
Keyword(s):  
Brain Injury ◽  
Acute Brain Injury ◽  
Neurointensive Care ◽  
Neurointensive Care Unit

PAROTITIS IN NEUROINTENSIVE CARE UNIT: CASE REPORT AND REVIEW OF THE LITERATURE

2014 ◽  
Author(s):  
Hatice Ture ◽  
Sevgi Bilgen ◽  
Ozgul Keskin ◽  
Ozge Koner ◽  
Sibel Temur ◽  
...  
Keyword(s):  
Case Report ◽  
Neurointensive Care ◽  
Review Of The Literature ◽  
Neurointensive Care Unit

scholarly journals Fine Tuning of Traumatic Brain Injury Management in Neurointensive Care—Indicative Observations and Future Perspectives

2021 ◽  
Vol 12 ◽  
Author(s):  
Teodor M. Svedung Wettervik ◽  
Anders Lewén ◽  
Per Enblad
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Fine Tuning ◽  
Neurointensive Care ◽  
Secondary Brain Injury ◽  
Brain Tissue Oxygenation ◽  
Treatment Protocols ◽  
Injury Mechanisms ◽  
Severe Tbi ◽  
Type Of Injury

Neurointensive care (NIC) has contributed to great improvements in clinical outcomes for patients with severe traumatic brain injury (TBI) by preventing, detecting, and treating secondary insults and thereby reducing secondary brain injury. Traditional NIC management has mainly focused on generally applicable escalated treatment protocols to avoid high intracranial pressure (ICP) and to keep the cerebral perfusion pressure (CPP) at sufficiently high levels. However, TBI is a very heterogeneous disease regarding the type of injury, age, comorbidity, secondary injury mechanisms, etc. In recent years, the introduction of multimodality monitoring, including, e.g., pressure autoregulation, brain tissue oxygenation, and cerebral energy metabolism, in addition to ICP and CPP, has increased the understanding of the complex pathophysiology and the physiological effects of treatments in this condition. In this article, we will present some potential future approaches for more individualized patient management and fine-tuning of NIC, taking advantage of multimodal monitoring to further improve outcome after severe TBI.

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