Posted by: Eri in Member blogs on Jan 12, 2016
A young 17 year-old female was brought to ER after trauma, she was unconscious, GCS: E1 V1 M5 8/15, pupils PERRL, no ENT bleeding, no vomiting nor fits. Moving all limbs actively. Breathing spontaneously and normallyThis patient was shift to ICU where she was sedated and intubated connected to MV. She was vitally stable.The brain. CS, DS CT, and LSS XR was found a isolated 3rd and 4th hemoventricule without tHSA.I personally haven't seen this in 10 year working in Neurosurgery, and in books I haven't found this also. This patient is being managed expectant. I took a picture but I have difficulties to uploaded. Please comment.I have question regarding this patient, Could this patient be managed without intubation and if so intubated but not connected to MV. Second if the patient is vitally stable, pupils show active reaction and vitally within normal limits could be follow without any PIC monitoring?. I understant that this we are protecting her of bronco-aspiration, but if we aspirated the stomach content we can follow the patient without intubation and if closely follow why insert PIC monitoring?