Summary of the best evidence for intracranial hypertension care in adults with severe brain injury
10.3760/cma.j.cn211501-20221109-03426
- VernacularTitle:成年人重症脑损伤患者颅内高压护理的最佳证据总结
- Author:
Yiheng CHENG
1
;
Donglan LING
;
Chuanhui XU
;
Hongjing YU
;
Yongyi YE
;
Hongbo YAN
;
Jinhua LI
;
Xiaodie ZHANG
;
Huiling GUO
Author Information
1. 广州医科大学附属第二医院神经外科重症监护室，广州 510260
- Keywords:
Brain injury;
Intracranial hypertension;
Critical care;
Evidence summary
- From:
Chinese Journal of Practical Nursing
2023;39(26):2051-2059
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the best evidence of intracranial hypertension nursing for adult patients with severe brain injury, and to provide reference for clinical nursing practice.Methods:According to the evidence-based methodology, a systematic search of Chinese and English literature on intracranial hypertension nursing of adult patients with severe brain injury was conducted in domestic and foreign databases such as CNKI, Wanfang, PubMed, Cochrane Library and Cinahl Plus and so on, as well as related guide websites and professional association websites from the establishment of database to August 2022. Two researchers independently evaluated literature quality and screened evidence, and then the project team summarized and concluded the evidence.Results:A total of 6 009 articles were obtained through preliminary search, and 33 articles were included after screening, including 13 guidelines, 1 systematic review, 17 expert consensus, 1 evidence summary, and 1 meta-analysis. In total, 33 pieces of best evidence were obtained from 8 dimensions, including intracranial pressure related threshold, assessment and monitoring, respiratory care, circulation care, analgesic and sedative care, temperature care, nutrition care and cerebrospinal fluid care.Conclusions:This study summarizes the evidence-based basis of intracranial hypertension nursing in adult patients with severe brain injury, which provides a basis for the standardized construction of clinical nursing strategies and empirical research.
