ArticleScandinavian journal of trauma, resuscitation and emergency medicine2024
Is time to first CT scan in patients with isolated severe traumatic brain injury prolonged when prehospital arterial cannulation is performed? A retrospective non-inferiority study.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Prehospital Normoventilation in Critically Ill Anaesthetised Patients Cannot Be Reliably Monitored by Capnography-A Retrospective Observational Study.Acta anaesthesiologica Scandinavica · 2026Observational
- Prehospital invasive vs. non-invasive blood pressure monitoring: Impact on shock index at hospital admission in critically ill patients - a prospective intervention study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Intraarterial blood pressure monitoring in prehospital emergency care: a scoping review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Implementing prehospital invasive arterial blood pressure monitoring in critically ill patients-a prospective observational first year analysis.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Observational
- Diagnostic accuracy of pre-hospital invasive arterial blood pressure monitoring for haemodynamic management in traumatic brain injury and spontaneous intracranial haemorrhage.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Association of prehospital invasive blood pressure measurement and treatment times of intubated patients with suspected stroke - a retrospective study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
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10 authors.
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Abstract
backgroundInvasive blood pressure measurement is the in-hospital gold standard to guide hemodynamic management and consecutively cerebral perfusion pressure in patients with traumatic brain injury (TBI). Its prehospital use is controversial since it may delay further care. The primary aim of this study was to test the hypothesis that patients with severe traumatic brain injury who receive prehospital arterial cannulation, compared to those with in-hospital cannulation, do not have a prolonged time between on-scene arrival and first computed tomography (CT) of the head by more than ten minutes.
methodsThis retrospective study included patients 18 years and older with isolated severe TBI and prehospital induction of emergency anaesthesia who received treatment in the resuscitation room of the University Hospital of Graz between January 1st, 2015, and December 31st, 2022. A Wilcoxon rank-sum test was used to test for non-inferiority (margin = ten minutes) of the time interval between on-scene arrival and first head CT.
resultsWe included data of 181 patients in the final analysis. Prehospital arterial line insertion was performed in 87 patients (48%). Median (25-75th percentile) durations between on-scene arrival and first head CT were 73 (61-92) min for prehospital arterial cannulation and 75 (60-93) min for arterial cannulation in the resuscitation room. Prehospital arterial line insertion was significantly non-inferior within a margin of ten minutes with a median difference of 1 min (95% CI - 6 to 7, p = 0.003).
conclusionTime-interval between on-scene arrival and first head CT in patients with isolated severe traumatic brain injury who received prehospital arterial cannulation was not prolonged compared to those with in-hospital cannulation. This supports early out-of-hospital arterial cannulation performed by experienced providers.
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