13. Ketamine et HTIC
et alors …
« For patients with severe traumatic brain injury, care focused on maintaining monitored
intracranial pressure at 20 mm Hg or less was not shown to be superior to care based on
imaging and clinical examination »
LE DEBIT PAS LA PRESSION…
14. Ketamine et HTIC
et alors …
Ann Emerg Med. 2014
« Two of 8 studies reported small
reductions in intracranial pressure
within 10 minutes of ketamine
administration, and 2 studies
reported an increase. None of the
studies reported significant
differences in cerebral perfusion
pressure, neurologic outcomes, ICU
length of stay, or mortality »
« According to the available
literature, the use of ketamine
in critically ill patients does
not appear to adversely affect
patient outcomes »
26. En ouverture
Quoi pour entretenir ???
« Patient arrival within 60 min of injury time was associated with
increased odds of survival to hospital discharge without requiring
ongoing rehabilitation (OR 1.78, 95%CI 1.14–2.79, p = 0.01) »
« Prehospital hypotension and hypothermia is associated with mortality, and
prehospital hypoxemia with impaired consciousness »