PREDICTING OUTCOME IN HYPOXIC-ISCHEMIC BRAIN INJURY - 17/08/11
Résumé |
Predicting the neurologic outcome of a child who has sustained a severe hypoxic–ischemic event is crucial for several reasons:
• | Families want to know whether their children will survive. |
• | If they survive, is there going to be any permanent damage? |
• | If there is any neurologic damage, how severe will it be? |
If physicians have data to support their efforts in predicting outcomes, then they would be able to help families to make treatment decisions. The hardest decision a parent can make is whether to withdraw life support from his or her child when there might be the slightest likelihood of survival, no matter how poor the neurologic outcome might be. Physicians are obligated to be educated on and keep abreast of clinical, laboratory, and neurophysiologic markers that could help to determine how much neurologic damage a child might have sustained in a hypoxic–ischemic event. This article focuses on hypoxic–ischemic encephalopathy (HIE) in children less than 12 years of age caused by near-drowning.
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Vol 48 - N° 3
P. 647-660 - juin 2001 Retour au numéro
Article précédent
- DROWNING : Rescue, Resuscitation, and Reanimation
- James P. Orlowski, David Szpilman
- CEREBRAL RESUSCITATION AFTER TRAUMATIC BRAIN INJURY AND CARDIOPULMONARY ARREST IN INFANTS AND CHILDREN IN THE NEW MILLENNIUM
- Patrick M. Kochanek, Robert S.B. Clark, Randall A. Ruppel, C. Edward Dixon
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