Abstract
Kafatası genişleme özelliği olmayan, sert ve hacmi sabit bir yapıdır. Kafa içindeki doku ve sıvıların toplam hacimleri de sabittir. Bu boşluğun beyin parankimi %80, beyin omurilik sıvısı %10 ve kan %10 unu doldurmaktadır. Kapalı sert bir yapıda olan beynin hacim ve basınç dengesi sürekli korunmaya çalışılır ki bu denge veya kural Monro-Kellie doktrini olarak bilinir. Sıvılardan herhangi birinin hacminin artması veya kafa içinde yer kaplayan bir kitlenin gelişmesi, intrakranial basınç (İKB) artışına neden olur. Normal serebral otoregülasyonu olan beyin ilk olarak bunu beyin kan akımını azaltarak, beyin omurilik sıvısı (BOS) hacmini azaltarak kompanse etmeye çalışır. Ancak ne zaman otoregülasyon mekanizmaları bozulur kitle veya ödem kompanzasyon sınırını geçerse artık kafa içi basınç artışı sendromu (KİBAS) belirginleşerek kliniği kötüleştirir ve herniasyon ortaya çıkar. Normal kafa içi basınç yenidoğanda 0.7-1.5 mmHg, süt çocuğunda: 1.5-6 mmHg, büyük çocukta: 3-7.5 mmHg: KİBAS demek için 8 yaş üstünde: 20 mmHg, 1-8 yaşta: 18 mmHg, 1 yaş altında: 15 mmHg intrakranial basınç olmalıdır.
References
- 1. Kochanek PM, Tasker RC, Carney N et al. Guidelines for the Management of Pediatric Severe Traumatic Brain Injury, Third Edition: Update of the Brain Trauma Foundation Guidelines. Pediatr Crit Care Med 2019; 20:1–82. doi: 10.1097/PCC.0000000000001735
- 2. Nag DS, Sahu S, Swain A, Kant S. Intracranial pressure monitoring: Gold standard and recent innovations. World J Clin Cases 2019;7:1535-1553. doi: 10.12998/wjcc.v7.i13.1535
- 3. de Moraes FM, Silva GS. Noninvasive intracranial pressure monitoring methods: a critical review. Arq Neuropsiquiatr 2021;79(5):437-446. doi: 10.1590/0004-282X-ANP-2020-0300
- 4. Burman R, Shah AH, Benveniste R et al. Comparing invasive with MRI-derived intracranial pressure measurements in healthy elderly and brain trauma cases: A pilot study. J Magn Reson Imaging. 2019;50:975-981. doi: 10.1002/jmri.26695
- 5. Ganeshalingham A, Beca J. Serum biomarkers in severe paediatric traumatic brain injury-a narrative review. Transl Pediatr. 2021 Oct;10(10):2720-2737. doi: 10.21037/tp-20-386
- 6. Alarcon JD, Rubiano AM, Okonkwo DO. Elevation of the head during intensive care management in people with severe traumatic brain injury. Cochrane Database Syst Rev. 2017;12: CD009986. doi: 10.1002/14651858.CD009986.pub2
- 7. Han C, Yang F, Guo S, Zhang J. Hypertonic Saline Compared to Mannitol for the Management of Elevated Intracranial Pressure in Traumatic Brain Injury: A Meta-Analysis. Front Surg. 2022; 8:765784. doi: 10.3389/fsurg.2021.765784. e Collection 2021
- 8. Surtees TL, Kumar I, Garton HJL et al. Levetiracetam Prophylaxis for Children Admitted With Traumatic Brain Injury. Pediatr Neurol. 2022; 126: 114-119
Abstract
References
- 1. Kochanek PM, Tasker RC, Carney N et al. Guidelines for the Management of Pediatric Severe Traumatic Brain Injury, Third Edition: Update of the Brain Trauma Foundation Guidelines. Pediatr Crit Care Med 2019; 20:1–82. doi: 10.1097/PCC.0000000000001735
- 2. Nag DS, Sahu S, Swain A, Kant S. Intracranial pressure monitoring: Gold standard and recent innovations. World J Clin Cases 2019;7:1535-1553. doi: 10.12998/wjcc.v7.i13.1535
- 3. de Moraes FM, Silva GS. Noninvasive intracranial pressure monitoring methods: a critical review. Arq Neuropsiquiatr 2021;79(5):437-446. doi: 10.1590/0004-282X-ANP-2020-0300
- 4. Burman R, Shah AH, Benveniste R et al. Comparing invasive with MRI-derived intracranial pressure measurements in healthy elderly and brain trauma cases: A pilot study. J Magn Reson Imaging. 2019;50:975-981. doi: 10.1002/jmri.26695
- 5. Ganeshalingham A, Beca J. Serum biomarkers in severe paediatric traumatic brain injury-a narrative review. Transl Pediatr. 2021 Oct;10(10):2720-2737. doi: 10.21037/tp-20-386
- 6. Alarcon JD, Rubiano AM, Okonkwo DO. Elevation of the head during intensive care management in people with severe traumatic brain injury. Cochrane Database Syst Rev. 2017;12: CD009986. doi: 10.1002/14651858.CD009986.pub2
- 7. Han C, Yang F, Guo S, Zhang J. Hypertonic Saline Compared to Mannitol for the Management of Elevated Intracranial Pressure in Traumatic Brain Injury: A Meta-Analysis. Front Surg. 2022; 8:765784. doi: 10.3389/fsurg.2021.765784. e Collection 2021
- 8. Surtees TL, Kumar I, Garton HJL et al. Levetiracetam Prophylaxis for Children Admitted With Traumatic Brain Injury. Pediatr Neurol. 2022; 126: 114-119
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Konuşmacı Metinleri |
| Authors | |
| Publication Date | June 30, 2022 |
| Submission Date | March 25, 2022 |
| Acceptance Date | March 25, 2022 |
| Published in Issue | Year 2022 Volume: 15 Issue: (Özel Sayı-1) 21. Mersin Pediatri Günleri Bildiri Kitabı |
Cite
MEU Journal of Health Sciences Assoc was began to the publishing process in 2008 under the supervision of Assoc. Prof. Gönül Aslan, Editor-in-Chief, and affiliated to Mersin University Institute of Health Sciences. In March 2015, Prof. Dr. Caferi Tayyar Şaşmaz undertook the Editor-in Chief position and since then he has been in charge.
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