کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2764387 1567676 2016 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Patterns of use of somatosensory-evoked potentials for comatose patients in Canada
ترجمه فارسی عنوان
الگوهای استفاده از پتانسیل های حسی‌تنی برانگیخته برای بیماران در کما در کانادا
کلمات کلیدی
پتانسیل برانگیخته حسی‌تنی؛ کاما؛ آنسفالوپاتی ایسکمی هیپوکسی؛ آسیب تروماتیک مغز؛ پیش بینی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
چکیده انگلیسی

PurposeTo measure how frequently somatosensory-evoked potentials (SEPs) are used in comatose patients after traumatic brain injury (TBI) and hypoxic ischemic encephalopathy (HIE), how SEPs contribute to outcome prediction and clinical decision making, and how available they are to clinicians.MethodsA novel factual and scenario-based survey instrument to measure patterns of SEPs use in comatose patients due to HIE or TBI was distributed to critical care, neurology, and neurosurgical physicians across Canada. The analysis was based on 86 completed surveys from specialists in neurology (36), neurosurgery (24), and critical care (22).ResultsMost (73%) of respondents reported that SEPs were available. When provided clinical vignettes, only 36% indicated that they would use them in TBI and 49% would use them in HIE. When respondents ranked the various methods available for establishing prognosis for awakening, SEP was ranked after cerebral blood flow and magnetic resonance imaging. The majority did not accurately estimate chances of awakening when SEP responses were bilaterally absent.ConclusionsThere are significant opportunities to optimize the use of SEPs in comatose patients including standardizing SEP testing and reporting, better communicating results to critical care physicians, and improving the understanding regarding the recommended use and interpretation of these tests.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Critical Care - Volume 36, December 2016, Pages 130–133
نویسندگان
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