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- W1005438245 abstract "The goal of the study was to assess frequency of plato waves, their influence on outcomes and define factors leading to plato waves. Ninety eight patients with severe traumatic brain injury (TBI) were included. Blood pressure (BP), intracranial pressure (ICP), cerebral perfusion pressure (CPP) and pressure reactivity index (Prx) were registered. Age was 34 ± 13.6. There were 73 male and 25 female. Glasgow Coma Scale (GCS) was 6 ± 1.4. Plato waves developed in 24 patients (group 1), 74 patients (group 2) did not have plato waves. Median of plato waves in the 1 st group was 7 [3.5;7]. They developed on 3 rd [2;4.5] day. Maximum level of ICP during plato waves was 47.5 [40;53] mmHg, its duration was 8.5 [7;27] minutes. In the group 1 Prx was significantly lower during first day, than in the group 2. Duration of ICP monitoring was longer in the group 1 due to presence of plato waves in these patients. CPP did not differ in groups, because CPP was strictly controlled. Patients of the group 1 had preserved autoregulation and less severe trauma (predominance of closed trauma and Marshall I, II type of brain damage). Plato waves did not predict bad outcomes." @default.
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- W1005438245 date "2013-01-01" @default.
- W1005438245 modified "2023-09-27" @default.
- W1005438245 title "Плато волны внутричерепного давления у пострадавших с тяжелой черепно-мозговой травмой" @default.
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