Thursday, November 14, 2019
Efficacy of Portable Head CT Scan in the Neuroscience Intensive Care Un
Introduction: Portable Computed Tomography (CT) studies are an important component used to manage, assess and diagnose CNS diseases, and acute brain injuries, in the Neuroscience ICU (NICU). The portable device is designed specifically for head and neck scans for critically ill patients that are at risk for complications and increased morbidity during intrahospital transportation. Research has found evidence which substantiates that intrahospital transport of patients with brain injuries can impact their outcomes. Many hospital protocols dictate the use of portable head CT (pHCT) scanners to monitor and assess critically ill patients in the NICU, to decrease negative patient outcomes from intrahospital transportation. This is an important factor in reduction and prevention secondary injuries in critically ill patients. The intention of this paper is to critically analyze a research article entitled Portable Head CT Scan and its Effect on Intracranial Pressure (ICP), Cerebral Perfusion Pressure (CPP), and Brain Oxygen. First, there will be an article synopsis identifying the premise of the study. Second, validity of the study will be described and discussed. Lastly, this paper will discuss applicability to Neuroscience ICU at University of New Mexico (UNM) Hospital. Article Synopsis: The authors of this research article were from various Departments at University of Pennsylvania in Philadelphia. The researchers conducted a retrospective study to assess possible detrimental association of a pHCT on ICP, CPP, and brain oxygen in patients with severe brain injury. The retrospective study selected 34 patients (16 males and 18 females), with the mean age of 42 (Ã ±15 years), and Glasgow Coma Scores (GCS) Ã¢â° ¤ 8 at the time of pHCT sca... ...eterious effects on patients. Conclusion: Peace et.al. raises a valid hypothesis that warrants further investigation in order to decrease the risks to patients on NICU and other units/ hospitals. In my opinion, studies with significant findings, reliability, high internal and external validity, are imperative in making changes in hospitals around the world to decrease secondary injury to patients. This study can possibly entice other researchers to develop a better study design and investigate the relationship between pHCT scans and ICP, CPP and brain oxygen, more vigorously. Works Cited Peace, K., Maloney-Wilensky, E., Frangos, S., Hujcs, M., Levine, J., Kofke, W.A., Yang, W., & Le Roux, P.D. (2011). Portable head CT scan and its effect on intracranial pressure,cerebral perfusion pressure, and brain oxygen. Journal of Neurosurgery, 114(5), 1479-1484.