• Clin Neurol Neurosurg · Jan 2014

    A survey of routine treatment of patients with intracranial hypertension (ICH) in specialized trauma centers in Sao Paulo, Brazil: a 11 million metropole!

    • Marcela B Alith, Milena C Vidotto, José R Jardim, and Mariana R Gazzotti.
    • Research fellow of the Neurosurgery Physiotherapy Research Group of the Respiratory Division at Escola Paulista de Medicina at Federal University of São Paulo (Unifesp/EPM), Rua dos Açores, 310, 1° andar, São Paulo 04032-010, Brazil. Electronic address: mabatan23@yahoo.com.br.
    • Clin Neurol Neurosurg. 2014 Jan 1;116:4-8.

    ObjectiveA survey of intensive care units (ICU) in São Paulo that care for patients with TBI and ICH using the hyperventilation technique.MethodsA questionnaire was given to the physiotherapist coordinator at 57 hospitals in São Paulo, where 24-h neurosurgery service is provided.ResultsFifty-one (89.5%) hospitals replied. From this total, thirty-four (66.7% perform the hyperventilation technique, 30 (85%) had the objective to reach values below 35 mmHg, four (11%) levels between 35 mmHg and 40 mmHg and one (3%) values over 40 mmHg.ConclusionsWe concluded that most hospitals in São Paulo perform hyperventilation in patients with severe brain trauma although there are not any specific Brazilian guidelines on this topic. Widespread controversy on the use of the hyperventilation technique in patients with severe brain trauma highlights the need for a specific Global policy on this topic.Copyright © 2013 Elsevier B.V. All rights reserved.

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