[Intracranial pressure monitoring in children with fulminant hepatic failure].

Abstract:

INTRODUCTION:We describe a series of 10 children with intracranial hypertension complicating fulminant hepatic failure submitted to intracranial pressure (ICP) monitoring for intensive care and transplantation management. PATIENTS AND METHODS:Information from pediatrics patients acute liver failure admitted to our hospital was collected in a standard protocol form. We analyzed data from 10 patients, medium age 5.2 years old. In this period we studied aspects as ICP transducer used, number of days with ICP monitoring and complications of ICP monitoring. RESULTS:Hepatitis A was diagnosed in five patients and hepatitis B in two cases. The initial ICP were 2 to 24 mmHg in transducer. Seven patients died, four due to intracranial hypertension, included the patient operated for subdural hematoma, and three with transplantation failure. Only a case of hematoma was verified. CONCLUSIONS:The application of ICP monitoring allows intensive care for aggressive ICP management. It can be used in children without adaptations.

journal_name

Rev Neurol

journal_title

Revista de neurologia

authors

Paiva WS,de Andrade AF,Amorim RL,Figueiredo EG,Matushita H,Teixeira MJ

subject

Has Abstract

pub_date

2009-02-01 00:00:00

pages

134-6

issue

3

eissn

0210-0010

issn

1576-6578

pii

rn2008575

journal_volume

48

pub_type

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