{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T08:25:15Z","timestamp":1773303915379,"version":"3.50.1"},"reference-count":34,"publisher":"Necmettin Erbakan University Press","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Pediatr Intensive Care"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Best strategies for managing severe pediatric traumatic brain injury (TBI) are not established, with wide variations among professional practices. The main objective of this study was to assess compliance with updated pediatric TBI management guidelines (2019). A survey was distributed among French-speaking pediatric intensive care physicians from April 1 to June 30, 2019. The survey was based on a clinical case with a total of 70 questions that cover the 15 items of the 2019 TBI guidelines. The questions evaluated the assessment and management of TBI during the acute and intensive care phases. Of 487 e-mails sent, 78 surveys were included. Guidelines were adhered to (&gt; 60%) for 10 of 15 items in the guidelines. Strong adherence to recent guideline changes was achieved for seizure prophylaxis with levetiracetam (n\u2009=\u200921\/33, 64%) and partial pressure of carbon dioxide threshold (n\u2009=\u200952, 67%). However, management of the sodium and glucose thresholds and the role of transcranial Doppler were not consistent with the guidelines. Assessment of brain tissue oxygenation (n\u2009=\u200912, 16%) and autoregulation (n\u2009=\u200935, 45%) was not a common practice. There was strong agreement among clinicians on the intracranial pressure (&gt; 80%) and cerebral perfusion pressure (&gt; 70%) thresholds used according to age. Overall, stated practices for the management of TBI appear to be relatively standardized among responders. Variations persist in areas with a lack of evidence and pediatric-specific recommendations.<\/jats:p>","DOI":"10.1055\/s-0042-1744298","type":"journal-article","created":{"date-parts":[[2022,4,8]],"date-time":"2022-04-08T18:49:55Z","timestamp":1649443795000},"page":"389-398","source":"Crossref","is-referenced-by-count":1,"title":["Severe Traumatic Brain Injury in French-Speaking Pediatric Intensive Care Units: Study of Practices"],"prefix":"10.53391","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1081-7829","authenticated-orcid":false,"given":"Manon","family":"Denis","sequence":"additional","affiliation":[{"name":"Pediatric Intensive Care Unit, CHU de Caen, Caen, France"},{"name":"Pediatric Intensive Care Unit, CHU de Nantes, Nantes, France"},{"name":"Institut du thorax, INSERM, CNRS, Nantes Universit\u00e9, CHU de Nantes, France"},{"name":"Institut du thorax, INSERM, CNRS, Nantes Universit\u00e9, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Lauzier","sequence":"additional","affiliation":[{"name":"Institut du thorax, INSERM, CNRS, Nantes Universit\u00e9, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadia","family":"Roumeliotis","sequence":"additional","affiliation":[{"name":"Pediatric Intensive Care Unit, CHU Sainte Justine, Montr\u00e9al, Quebec, Canada"},{"name":"Department of Pediatrics, Universit\u00e9 de Montr\u00e9al, Montr\u00e9al, Quebec, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gilles","family":"Orliaguet","sequence":"additional","affiliation":[{"name":"Surgical Pediatric Intensive Care Unit, Necker\u2013Enfants Malades University Hospital, Paris, France"},{"name":"Department of Pediatric and Obstetrical Anaesthesia and Intensive Care, Necker\u2013Enfants Malades University Hospital, GHU AP-HP Centre - Universit\u00e9 de Paris, Paris, France"},{"name":"EA08 Pharmacologie et \u00e9valuation des th\u00e9rapeutiques chez l'enfant et la femme enceinte, Universit\u00e9 de Paris, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guillaumes","family":"Emeriaud","sequence":"additional","affiliation":[{"name":"Pediatric Intensive Care Unit, CHU Sainte Justine, Montr\u00e9al, Quebec, Canada"},{"name":"Department of Pediatrics, Universit\u00e9 de Montr\u00e9al, Montr\u00e9al, Quebec, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Etienne","family":"Javouhey","sequence":"additional","affiliation":[{"name":"Pediatric Intensive Care Unit, H\u00f4pital Femme M\u00e8re Enfant, Hospices Civils de Lyon, Bron, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Brossier","sequence":"additional","affiliation":[{"name":"Pediatric Intensive Care Unit, CHU de Caen, Caen, France"},{"name":"Department of Pediatrics, Universit\u00e9 de Montr\u00e9al, Montr\u00e9al, Quebec, Canada"},{"name":"School of Medicine, University Caen Normandie, Caen, F-14000, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"31409","published-online":{"date-parts":[[2022,4,8]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1007\/s13546-014-0920-y","article-title":"Traumatisme cr\u00e2nien chez l'enfant","volume":"23","author":"G Patteau","year":"2014","journal-title":"Reanimation"},{"key":"ref2","first-page":"475","volume-title":"Particularit\u00e9s du Traumatisme Cr\u00e2nien Chez L'enfant","author":"G Orliaguet","year":"2005"},{"issue":"01","key":"ref3","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1097\/JNN.0000000000000176","article-title":"Pathophysiology and treatment of severe traumatic brain injuries in children","volume":"48","author":"K A Allen","year":"2016","journal-title":"J Neurosci Nurs"},{"issue":"06","key":"ref4","first-page":"528","article-title":"[Epidemiology and prevention of head trauma in children]","volume":"13","author":"E Javouhey","year":"2006","journal-title":"Arch Pediatr"},{"issue":"03","key":"ref5","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1227\/00006123-199209000-00008","article-title":"Severe head injury in children: experience of the Traumatic Coma Data Bank","volume":"31","author":"H S Levin","year":"1992","journal-title":"Neurosurgery"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1016\/j.wneu.2016.03.045","article-title":"Epidemiology of global pediatric traumatic brain injury: qualitative review","volume":"91","author":"M C Dewan","year":"2016","journal-title":"World Neurosurg"},{"issue":"12","key":"ref7","first-page":"e225","article-title":"How can we determine the best cerebral perfusion pressure in pediatric traumatic brain injury?","volume":"32","author":"C Vuillaume","year":"2013","journal-title":"Ann Fr Anesth Reanim"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.pediatrneurol.2018.12.003","article-title":"Children with severe traumatic brain injury, intracranial pressure, cerebral perfusion pressure, what does it mean? 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