Metabolic crisis in severely head-injured patients: is ischemia just the tip of the iceberg?

Metabolic crisis in severely head-injured patients: is ischemia just the tip of the iceberg?

Ischemia and metabolic crisis are frequent post-traumatic secondary brain insults that negatively influence outcome. Clinicians commonly mix up these two types of insults, mainly because high lactate/pyruvate ratio (LPR) is the common marker for both ischemia and metabolic crisis. However, LPR eleva...

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Bibliographic Details
Main Authors: Emilie eCarre, Michael eOgier, Henry eBoret, Ambroise eMontcriol, Lionel eBourdon, Jean-Jacques eRisso
Format: Article
Language:English
Published: Frontiers Media S.A. 2013-10-01
Series:Frontiers in Neurology
Subjects:
Ischemia
intracerebral microdialysis
Head injury
metabolic crisis
multimodal monitoring
brain tissue oxygen
Online Access:http://journal.frontiersin.org/Journal/10.3389/fneur.2013.00146/full

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