Expert consensus on the prevention and control of intracranial hypertension in adult critical illness
10.3761/j.issn.0254-1769.2024.21.007
- VernacularTitle:成人重症患者颅内压增高防控护理专家共识
- Author:
The Critical Care Professional Committee of the Chinese Nursing Association
1
;
Fang LIU
;
Yujiao WANG
;
Xiaobai CAO
;
Lan GAO
;
Songbai XU
;
Yuanyuan MI
;
Hong SUN
;
Fengru MIAO
;
Yan LI
;
Hongyan LI
Author Information
1. 100053 北京市 首都医科大学宣武医院神经内科
- Keywords:
Critical Illness;
Intracranial Pressure;
Prevention and Control;
Nursing Care;
Expert Consensus
- From:
Chinese Journal of Nursing
2024;59(21):2606-2610
- CountryChina
- Language:Chinese
-
Abstract:
Objective The purpose of writing the"Expert consensus on the prevention and control of intracranial hypertension in adult critical illness"(here in after referred to as the"Consensus")aimed to standardize the nursing work related to the prevention and control of elevated intracranial pressure in adult critical illness,and prevent the occurrence of complications such as cerebral herniation.Methods Guided by evidence-based practice,domestic and foreign databases were searched for guidelines,expert consensuses,systematic evaluation,evidence summaries,and original research related to increased intracranial pressure.The search period is from database establishment to March 2024.The high-quality evidence and suggestions in the field was evaluated,extracted,and summarized to form a preliminary consensus.27 experts were invited to conduct 2 rounds of expert inquiry and 8 experts were invited to conduct 2 expert discussion meetings,to revise and improve the content of the initial draft,and to ultimately form a final consensus.Results The effective response rates for both rounds of inquiry questionnaires were 100％,with expert authority coefficients of 0.884,judgment coefficients of 0.964,and familiarity levels of 0.804.The Kendall harmony coefficients for 2 rounds of inquiry were 0.107 and 0.083(P＜0.01),respectively.The consensus includes 4 aspects,including identification,monitoring,prevention and control strategies,emergency treatment and care for increased intracranial pressure.Conclusion This"Consensus"has strong scientific validity and can provide reference basis for nurses to carry out prevention and control of intracranial pressure increase.
