Best evidence summary of intracranial pressure management in patients with hemorrhagic stroke
10.3760/cma.j.cn211501-20220613-01849
- VernacularTitle:出血性脑卒中患者颅内压管理的最佳证据总结
- Author:
Yating XUE
1
;
Xiao AN
;
Yu XIA
;
Hong WANG
Author Information
1. 山东第一医科大学护理学院，济南 250117
- Keywords:
Intracranial pressure;
Hemorrhagic stroke;
Evidence summary;
Evidence-based nursing
- From:
Chinese Journal of Practical Nursing
2023;39(18):1429-1435
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To search, select and integrate the available evidence for the intracranial pressure management in patients with hemorrhagic stroke, to provide evidence-based references for clinical practice.Methods:According to the "6S" pyramid model, all literature on the management of intracranial pressure in patients with hemorrhagic stroke was retrieved from the websites and database including UpToDate, BMJ Best Practice, Cochrane Library, PubMed, Embase, relevant guideline net works and association websites as well as National stroke database,Yimaitong, CBM, CNKI, Wanfang Data, VIP and other databases, including Clinical decision-making, guidelines, evidence collection, systematic evaluation, expert consensus and evidence-related original research. The search time limit was from the establishment of the database to June 10, 2022. Two researchers independently evaluated the literature quality. The qualified literature was extracted.Results:A total of 19 pieces of literature were included, including 3 clinical decision-making, 5 guidelines, 3 systematic reviews, 4 expert consensuses, 3 randomized controlled studies and 1 case series study. Finally, 23 pieces of best evidence were summarized, involving 5 aspects such as assessment and monitoring, management goals, management scheme, treatment selection and methods, risk management.Conclusions:Active intracranial pressure management can improve the prognosis of patients with hemorrhagic stroke. It is recommended that health care professionals should select evidence in combination with specific clinical situations and formulate individualized intracranial pressure management programs.
