Bukenya Symposium abstract power poi.ppt

Abstract

1. Abstract Presentation
•Title: Contributions of Neurocritical Care as a
Prognostic Factor in Neurotrauma.
•Event: 2024 Registrars Symposium and Prof.
Kijjambu Public Lecture
•Presenter: Bukenya Ali
•Date: Friday 27
TH
/ Sept/2024

2. Introduction
Context:
•Increasing incidence of traumatic brain injury (TBI) in
low- and middle-income countries (LMICs).
•Importance of neurocritical care for improving patient
outcomes.
•Effective neurocritical care is crucial for improving
patient outcomes.

3. Key Objectives:
•Evaluate patient flow from surgery to ICU and HDU at
Nsambya Hospital, Uganda.
•Analyze the roles of intensivists in managing these
patients.
•Assess patient outcomes related to neurocritical care.

4. Patient Flow to ICU and HDU
Patient Transfers:
•ICU: Approximately [insert number]% of neurosurgery
patients are transferred directly to the ICU.
•HDU: [Insert number]% of patients go directly to the
HDU post-surgery.
Reference:
•Buh et al. (2021) highlight the significance of immediate
post-surgical care for better outcomes.
•Demographics, Causes, and Outcome of Traumatic Brain
Injury among Trauma Cases in Cameroon

5. Role of Intensivists in the ICU
Intensivist Responsibilities:
•Continuous monitoring of neurological status.
•Management of intracranial pressure and vital signs.
•Administration of medications and interventions as needed.
Reference:
Souaré et al. (2022) emphasizes the need for trained personnel
in neurotrauma management.
Epidemiology and Challenges of Neurotraumas Care in the
Emergency Department of a Semi-Urban Hospital in Guinea,
West Africa

6. Specific Interventions in the ICU
Common Procedures:
•Monitoring and adjusting ventilatory support.
•Fluid management and hemodynamic stabilization.
•Neurological assessments to detect changes in patient
condition.
Reference:
Muili et al. (2023) discuss the necessity of structured care for
improving TBI management.
Management of Traumatic Brain Injury in Africa: Challenges
and Opportunities.

7. Patient Outcomes
Outcome Data:
•Patients receiving immediate neurocritical care demonstrate
lower mortality rates and improved recovery.
•Preliminary findings suggest a significant correlation between
timely interventions and positive outcomes.
Reference:
Ramos et al. (2023) indicates that ENLS training enhances patient management in low-resource settings..
Repercussions of the Emergency Neurological Life Support on Scientific Literature: A Bibliometric Study
Authors: Miguel Bertelli Ramos et al.
Focus: This bibliometric study assesses the impact of Emergency Neurological Life Support (ENLS)
training on the scientific literature, particularly in low-resource settings.
Findings: The study highlights the importance of ENLS in improving patient outcomes and encourages
further research and training initiatives in neurocritical care.

8. Barriers to Effective Care
Challenges Identified:
•Financial constraints and inadequate infrastructure affecting
patient access.
•Limited medical personnel and specialized training
opportunities.
Reference:
Okon et al. (2020) highlights systemic barriers to accessing neurosurgical care in Africa.
Barriers to Accessing Neurosurgical Care in Low- and Middle-Income Countries from Africa
Authors: Inibehe I. Okon et al.
Focus: This editorial discusses the barriers faced by patients in accessing neurosurgical care, such as
financial constraints, inadequate infrastructure, and limited medical personnel.
Implications: The article emphasizes the need for policy changes and investment in healthcare
systems to improve access to care.

9. Opportunities for Improvement
Strategic Recommendations:
•Enhance training programs for intensivists and medical staff.
•Implement established trauma care networks to improve
patient management.
•Foster collaborations between hospitals for resource sharing.
Reference:
Muili et al. (2023) emphasizes the importance of developing trauma care networks.
Management of Traumatic Brain Injury in Africa: Challenges and Opportunities
Authors: Abdulbasit Opeyemi Muili et al.
Focus: This paper reviews the current management practices for TBI in Africa, identifying common
challenges such as late presentation and lack of specialized care.
Opportunities: It suggests potential strategies for improving management, including training
programs and the establishment of trauma care networks.

10. Conclusion
Key Findings:
•Importance of craniotomies in managing TBIs
•Focus on innovative trauma care approaches
Future Directions:
•Emphasis on research and policy development
•Need for preventive strategies and quality improvement in trauma
care
Summary:
•Neurocritical care is crucial for improving outcomes in
neurotrauma patients.
•Addressing systemic challenges and enhancing training can
optimize care in LMICs.

11. Cited Articles
1. Demographics, Causes, and Outcome of Traumatic Brain Injury among
Trauma Cases in Cameroon
Authors: Franklin Chu Buh et al. (2021)
Focus: This multi-center study investigates the demographics of traumatic brain
injury (TBI) patients in Cameroon, analyzing causes such as road traffic accidents,
falls, and violence.
Outcomes: The study highlights the mortality rate, long-term disability, and
factors influencing patient outcomes, such as age and severity of injury.
2. Epidemiology and Challenges of Neurotraumas Care in the Emergency
Department of a Semi-Urban Hospital in Guinea, West Africa
Authors: I. S. Souaré et al. (2022)
Focus: This article examines the epidemiology of neurotrauma cases in a semi-
urban hospital, identifying common causes and patient demographics.
Challenges: It outlines systemic challenges in neurotrauma care, including
resource limitations, training deficits, and access to timely interventions.

12. Cited Articles
3. Barriers to Accessing Neurosurgical Care in Low- and Middle-Income
Countries from Africa
Authors: Inibehe I. Okon et al. (2020)
Focus: This editorial discusses the barriers faced by patients in accessing
neurosurgical care, such as financial constraints, inadequate infrastructure, and
limited medical personnel.
Implications: The article emphasizes the need for policy changes and investment
in healthcare systems to improve access to care.
4. Management of Traumatic Brain Injury in Africa: Challenges and
Opportunities
Authors: Abdulbasit Opeyemi Muili et al. (2023)
Focus: This paper reviews the current management practices for TBI in Africa,
identifying common challenges such as late presentation and lack of specialized
care.
Opportunities: It suggests potential strategies for improving management,
including training programs and the establishment of trauma care networks.

13. Cited Articles
5. Repercussions of the Emergency Neurological Life Support on Scientific
Literature: A Bibliometric Study
Authors: Miguel Bertelli Ramos et al. (2023)
Focus: This bibliometric study assesses the impact of Emergency Neurological Life
Support (ENLS) training on the scientific literature, particularly in low-resource
settings.
Findings: The study highlights the importance of ENLS in improving patient
outcomes and encourages further research and training initiatives in neurocritical
care.

14. Take Home
•The major point to take home is that prompt surgical
intervention in traumatic brain injury patients can
significantly improve patient outcomes, and this finding
has important implications for resource allocation and
quality improvement initiatives in low-resource settings.

15. Questions?
THANK YOU ALL