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PedsCrit
Traumatic Brain Injury with Dr. Kristen Smith and Dr. Carly Schmidt (Part 2)
Sep 30, 2024
In this riveting discussion, Dr. Kristen Smith, the PICU medical director at the University of Michigan, and Dr. Carly Schmidt, a critical care fellow, delve into managing traumatic brain injuries in children. They cover crucial neuroprotective measures and how to adeptly handle increased intracranial pressure. Key insights include strategies for cerebral edema management, the challenges of existing treatments, and the importance of clear communication with families during recovery. Their expertise sheds light on hope, collaboration, and the evolving landscape of pediatric TBI care.
36:03
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Quick takeaways
- Effective management of increased intracranial pressure in children requires meticulous assessment of patient conditions and tailored therapeutic interventions.
- Clear and empathetic communication with families in the critical first hours post-injury is essential to build trust and support during recovery.
Deep dives
Initial Assessment of Increased ICP
When faced with acute worsening intracranial hypertension in patients with traumatic brain injuries, initial bedside assessment is crucial. It is essential to identify any changes in the patient's condition, such as recent suctioning, changes in bed positioning, or other interventions that could have affected intracranial pressure (ICP). Vital signs and continuous monitoring data should also be analyzed to determine the patient's hemodynamic status, including parameters like end-tidal CO2 and central venous pressure (CVP). By methodically reviewing all available data, healthcare providers can decide whether to administer additional sedation or other interventions to manage the rising ICP effectively.
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