Secondary insults during intrahospital transport of neurosurgical intensive care patients.

Bekar A., Ipekoglu Z., Tureyen K., Bilgin H., Korfali G., Korfali E.

Neurosurgical review, vol.21, pp.98-101, 1998 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 21
  • Publication Date: 1998
  • Doi Number: 10.1007/bf02389312
  • Journal Name: Neurosurgical review
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.98-101
  • Keywords: head injury, intracranial pressure, transportation of patients, HEAD-INJURED PATIENTS, CEREBRAL PERFUSION-PRESSURE, MANAGEMENT, ELEVATION, ADULTS, DEATH
  • Bursa Uludag University Affiliated: Yes


Secondary insults occuring after injury have been prospectively assessed in seven head-injured patients who required intrahospital transfer to a computerized tomography unit for re-evaluation of their brain injury. During transportation the intracranial pressure, blood pressure. and arterial blood gases were monitored. A significant increase in intracranial pressure was observed during transport (p < 0.01). The conclusion is that patients should be ventilated and have appropriate sedation and analgesia. This could provide some protection against secondary insults.