Transporting the neurologically compromised child

Pediatr Clin North Am. 1993 Apr;40(2):337-54. doi: 10.1016/s0031-3955(16)38515-7.


The initial evaluation, stabilization, and subsequent transport of the neurologically compromised child should take into account the pathophysiologic response of the CNS to a variety of injurious factors. Little can be done to avoid neuronal damage from the primary event. Secondary insults resulting from hypoxemia, ischemia, intracranial hypertension, and fluid shifts can and must be prevented to ensure maximum neuronal salvage, however. Maintenance of an adequate airway, breathing, and circulation assume an immediate and ongoing priority. Neuroresuscitation should be directed toward reversing alterations in cerebral metabolism, autoregulation, brain water, and ICP associated with individual pathologic states.

Publication types

  • Review

MeSH terms

  • Blood-Brain Barrier
  • Cardiopulmonary Resuscitation / methods
  • Cardiopulmonary Resuscitation / standards
  • Cerebrovascular Circulation
  • Child
  • Child, Preschool
  • Critical Care / methods*
  • Critical Care / standards
  • Glasgow Coma Scale
  • Humans
  • Infant
  • Infant, Newborn
  • Intracranial Pressure
  • Nervous System Diseases / diagnosis
  • Nervous System Diseases / physiopathology
  • Nervous System Diseases / therapy*
  • Pediatrics / methods*
  • Pediatrics / standards
  • Transportation of Patients / methods*
  • Transportation of Patients / standards