Use a “GHOST-CAP” in acute brain injury
Published Mar 14, 2020 · F. Taccone, A. L. de Oliveira Manoel, C. Robba
Critical Care
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Abstract
Background Simple mnemonics can help prevent inappropriate or unnecessary therapeutic interventions in the ICU. Some years ago, the “FAST-HUG” acronym was developed [1], summarizing key aspects of routine ICU patient management (feeding, analgesia, sedation, thromboembolic prevention, head-of-bed elevation, ulcer prophylaxis, glucose control); this acronym is now used in many ICUs worldwide. Management of patients with acute primary brain injury involves treatment of the primary cerebral insult (e.g., trauma, cerebral edema, tissue hypoxia, seizures) and avoidance of secondary brain injury from extra-cerebral events [2]. Hence, we propose a new acronym, “GHOSTCAP,” to help remind healthcare providers of the main factors to be considered when managing these patients.