Protocol for a Randomized Trial Comparing Intracranial Pressure Monitor-Based Management of Severe Pediatric Traumatic Brain Injury With Management Based on Imaging and Clinical Examination Without Intracranial Pressure Monitoring.
Randall M ChesnutNancy TemkinJames PridgeonStephen SulzbacherSilvia LujanWalter VidettaLuis Moya-BarquínKelley ChaddockRobert BonowGustavo PetroniNahuel GuadagnoliPeter HendricksonGrimaldo Ramírez CortezNilton Yhuri CarreazoAlcides Vargas AymitumaDaniel AnchantePatrick CaquiAlberto RamírezManuel Munaico AbantoManuel Ortiz ChicchonJosé Cenzano RamosAnaly Mazate-MazariegosMaría Del Carmen Castro DarceRoberto Sierra MoralesPedro Brol LopezWilly MenendezSofía Posadas GutierrezVicente KevinAndrea MazariegosElie de LeonRodolfo Enrique Rodas BarriosSandra RodríguezSandra FloresOvidio AlvaradoLuis José Guzman FloresMelvin Moisa MartinezPablo GonzalezPublished in: Neurosurgery (2023)
This is not a study of the value of knowing the ICP in sTBI. This research question is protocol-based. We are investigating the added value of protocolized ICP management to treatment based on imaging and clinical examination in the global population of severe pediatric TBI. Demonstrating efficacy should standardize ICP monitoring in severe pediatric TBI. Alternate results should prompt reassessment of how and in which patients ICP data should be applied in neurotrauma care.