Publications by authors named "Rianne G F Dolmans"
Article Synopsis
- The study looked at how doctors sedate patients with serious brain injuries to help reduce pressure in the brain, known as intracranial pressure (ICP).
- Researchers analyzed data from a group of patients who were in the ICU for at least five days and had their sedation levels tracked daily.
- They found that the highest sedation levels were given on the first day in the ICU, but the way sedation was managed varied a lot between different hospitals.
Importance: Treatment for intracranial pressure (ICP) has been increasingly informed by machine learning (ML)-derived ICP waveform characteristics. There are gaps, however, in understanding how ICP monitor type may bias waveform characteristics used for these predictive tools since differences between external ventricular drain (EVD) and intraparenchymal monitor (IPM)-derived waveforms have not been well accounted for.
Objectives: We sought to develop a proof-of-concept ML model differentiating ICP waveforms originating from an EVD or IPM.
Article Synopsis
- The study examines the management of intracranial pressure in patients with moderate-to-severe traumatic brain injury (msTBI), specifically comparing the use of external ventricular drains (EVD) and intraparenchymal monitors (IPM).
- Researchers analyzed data from 521 adult msTBI patients at two academic institutions to identify factors influencing the choice between EVD and IPM, as well as to assess the clinical outcomes for both groups.
- Key findings indicate that while certain conditions like epidural hemorrhage and midline shift influenced the likelihood of receiving IPM, EVD patients generally required more intensive treatment, yet no significant differences were noted in overall patient outcomes between the two groups.
Analgo-sedation plays an important role during intensive care management of traumatic brain injury (TBI) patients, however, limited evidence is available to guide practice. We sought to quantify practice-pattern variation in neurotrauma sedation management, surveying an international sample of providers. An electronic survey consisting of 56 questions was distributed internationally to neurocritical care providers utilizing the Research Electronic Data Capture platform.
View Article and Find Full Text PDFPurpose: Non-technical skills have gained attention, since enhancement of these skills is presumed to improve the process of trauma resuscitation. However, the reliability of assessing non-technical skills is underexposed, especially when using video analysis. Therefore, our primary aim was to assess the reliability of the Trauma Non-Technical Skills (T-NOTECHS) tool by video analysis.
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- - The study investigates whether routine blood tests taken upon admission can predict outcomes in patients with severe traumatic brain injury (sTBI) by analyzing various laboratory parameters and clinical results. - A total of 255 adult patients were examined, revealing that despite some associations, no routine blood tests were found to significantly predict 30-day mortality or longer-term outcomes after correcting for multiple tests. - The conclusion suggests that standard blood tests on admission are not effective in predicting the outcomes for sTBI patients, indicating that other clinical or radiological factors may be more valuable in this context.
Objectives: Traumatic brain injury is a leading cause of hospital visits for children. Hyperosmolar therapy is often used to treat severe traumatic brain injury. Hypertonic saline is used predominantly, yet there remains disagreement about whether hypertonic saline or mannitol is more effective.
View Article and Find Full Text PDFIntracranial pressure (ICP) monitoring is a staple of neurocritical care. The most commonly used current methods of monitoring in the acute setting include fluid-based systems, implantable transducers and Doppler ultrasonography. It is well established that management of elevated ICP is critical for clinical outcomes.
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