Q: What is
considered as an endpoint success in Barbiturate coma therapy (BCT) from ICP
(intra cranial pressure) control perspective in neurotrauma patients?
Answer: ICP < 20 mmHg for at least 48 hours, at
a minimum
Patients, whose ICPs are
successfully controlled by pentobarbital, had at least five times greater chance
of survival.
References:
Eisenberg HM, Frankowski RF, Contant CF, Marshall LF, Walker
MD. High dose barbiturate control of elevated intracranial pressure in patients
with severe head injury. J Neurosurg. 1988;69:15–23.
Etienne D, Jacques B, Arlette V, Florence L, Jean LV.
Barbiturate coma for intracranial hypertension: clinical observations. J Crit
Care. 2002;17:58–62.
Horsley JS. The intracranial pressure during barbital
narcosis. Lancet. 1937;1:141–143.
Michael WL, Scott
AD, Mary ES, Roger RB, Dan RT. The efficacy of barbiturate coma in the
management of uncontrolled intracranial hypertension following neurosurgical
trauma. J Neurotrauma. 1994;11:325–331.
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