Evidence map›Paper›PMID 29149387›Full record

ReviewChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2017

Analgosedation in paediatric severe traumatic brain injury (TBI): practice, pitfalls and possibilities.

N Ketharanathan, Y Yamamoto, U Rohlwink, E D Wildschut, M Hunfeld, E C M de Lange, D Tibboel

Open access · hybridAbstract readReview
In one paragraph

Review in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 25 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

N KetharanathanIntensive Care and Department of Paediatric Surgery, Erasmus Medical Center, Sophia Children's Hospital, Rotterdam, The Netherlands. n.ketharanathan@erasmusmc.nl.ORCID http://orcid.org/0000-0002-0382-5337
Y YamamotoLeiden Academic Center for Drug Research, University of Leiden, Leiden, The Netherlands.
U RohlwinkDivision of Neurosurgery, Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa.
E D WildschutIntensive Care and Department of Paediatric Surgery, Erasmus Medical Center, Sophia Children's Hospital, Rotterdam, The Netherlands.
M HunfeldIntensive Care and Department of Paediatric Surgery, Erasmus Medical Center, Sophia Children's Hospital, Rotterdam, The Netherlands.
E C M de LangeLeiden Academic Center for Drug Research, University of Leiden, Leiden, The Netherlands.
D TibboelIntensive Care and Department of Paediatric Surgery, Erasmus Medical Center, Sophia Children's Hospital, Rotterdam, The Netherlands.
Erasmus MC - Sophia Children’s Hospital · NLCentre for Human Drug Research · NLErasmus MC · NLUniversity of Cape Town · ZA

Funding

Sophia Children's Hospital Research Fund S16-26
6 · The paper itself

Abstract

Analgosedation is a fundamental part of traumatic brain injury (TBI) treatment guidelines, encompassing both first and second tier supportive strategies. Worldwide analgosedation practices continue to be heterogeneous due to the low level of evidence in treatment guidelines (level III) and the choice of analgosedative drugs is made by the treating clinician. Current practice is thus empirical and may result in unfavourable (often hemodynamic) side effects. This article presents an overview of current analgosedation practices in the paediatric intensive care unit (PICU) and addresses pitfalls both in the short and long term. We discuss innovative (pre-)clinical research that can provide the framework for initiatives to improve our pharmacological understanding of analgesic and sedative drugs used in paediatric severe TBI and ultimately facilitate steps towards evidence-based and precision pharmacotherapy in this vulnerable patient group.

Indexed as

PediatricsAnalgesicsBrain Injuries, TraumaticChildChild, PreschoolHumansHypnotics and SedativesInfantAnalgesicsHypnotics and SedativesAnalgesiaPaediatricPharmacologySedationTraumatic brain injury

Identifiers

PMID29149387
PMCPMC5587615
OpenAlexW2752876218

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.