P0014 / #819: BEDSIDE COMPUTED TOMOGRAPHY IN PEDIATRIC TRAUMATIC BRAIN INJURY: EXPERIENCE AT A LEVEL 1 TRAUMA CENTRE IN INDIA

Abstract

Aims & Objectives: AIMS: To assess the role of mobile CT (Ceretom®; NeuroLogica Corporation, Boston, MA, USA) in a trauma centre with respect to patient management. Methods: In this retrospective study over 67 months (June 2009-January 2015), number of CT’s done and downtime was evaluated. Also, for the first 1000 mobile CT’s, the clinical and radiological records of all pediatric patients (Age ≤18 years of age) of TBI who underwent the mobile CT in ICU were analysed. Results: Ten thousand mobile CT’s were done on Ceretom up to 5 January 2015. Of the first 1000 patients evaluated, there were 225 (22.5%) patients in the pediatric age group. 81.2% patients had severe TBI, 14% had moderate TBI and 4.8% had mild TBI. 79.6% patients were on ventilator, with 82.6% requiring sedation and 4.9% inotropic support. 42.6% patients had intracranial pressure monitoring lines in-situ. No adverse events of line malfunction/pullout occurred. Mean time for mobile CT scan was 14.6 min compared from 56.8 min when patients were shifted to conventional CT suite. The machine was non-functional 94 times with an average downtime of 4.2 hours (range 2- 72 hours. Lifecycle cost per mobile CT was 18.68 USD. Conclusions: Mobile CT has considerably changed the management response time in Neurosurgical ICU setup and decreased patient transfer and associated complications. Inclusion of mobile CT in armamentarium of neurosurgeon as a “bedside tool” can dramatically change decision making and time of response and should be considered as standard of care in any large volume emergency department or neurosurgical facility.