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Critical care management of severe traumatic brain injury in adults.

Haddad SH, Arabi YM - Scand J Trauma Resusc Emerg Med (2012)

Bottom Line: Traumatic brain injury (TBI) is a major medical and socio-economic problem, and is the leading cause of death in children and young adults.The critical care management of severe TBI is largely derived from the "Guidelines for the Management of Severe Traumatic Brain Injury" that have been published by the Brain Trauma Foundation.In this review, the critical care management of severe TBI will be discussed with focus on monitoring, avoidance and minimization of secondary brain insults, and optimization of cerebral oxygenation and CPP.

View Article: PubMed Central - HTML - PubMed

Affiliation: Intensive Care Department, King Abdulaziz Medical City, Riyadh, Kingdom of Saudi Arabia. haddads55@yahoo.com

ABSTRACT
Traumatic brain injury (TBI) is a major medical and socio-economic problem, and is the leading cause of death in children and young adults. The critical care management of severe TBI is largely derived from the "Guidelines for the Management of Severe Traumatic Brain Injury" that have been published by the Brain Trauma Foundation. The main objectives are prevention and treatment of intracranial hypertension and secondary brain insults, preservation of cerebral perfusion pressure (CPP), and optimization of cerebral oxygenation. In this review, the critical care management of severe TBI will be discussed with focus on monitoring, avoidance and minimization of secondary brain insults, and optimization of cerebral oxygenation and CPP.

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Mentions: The intensive care management of patients with severe TBI is a dynamic process, starts in the pre-hospital period, at the scene of the accident. During the early stages of hospital care, the patients may be managed in a variety of locations including emergency department, the radiology department, and the operating room before they are admitted to the Intensive Care Unit (ICU). The continuum of acute care, during the "GOLDEN HOUR", from the time of injury through the start of definitive care, should be ensured and based on the guidelines and recommendations previously mentioned. This review outlines the fundamental principles of critical care management of patients with severe TBI during their stay in the ICU. See Figure 1


Critical care management of severe traumatic brain injury in adults.

Haddad SH, Arabi YM - Scand J Trauma Resusc Emerg Med (2012)

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3298793&req=5

Mentions: The intensive care management of patients with severe TBI is a dynamic process, starts in the pre-hospital period, at the scene of the accident. During the early stages of hospital care, the patients may be managed in a variety of locations including emergency department, the radiology department, and the operating room before they are admitted to the Intensive Care Unit (ICU). The continuum of acute care, during the "GOLDEN HOUR", from the time of injury through the start of definitive care, should be ensured and based on the guidelines and recommendations previously mentioned. This review outlines the fundamental principles of critical care management of patients with severe TBI during their stay in the ICU. See Figure 1

Bottom Line: Traumatic brain injury (TBI) is a major medical and socio-economic problem, and is the leading cause of death in children and young adults.The critical care management of severe TBI is largely derived from the "Guidelines for the Management of Severe Traumatic Brain Injury" that have been published by the Brain Trauma Foundation.In this review, the critical care management of severe TBI will be discussed with focus on monitoring, avoidance and minimization of secondary brain insults, and optimization of cerebral oxygenation and CPP.

View Article: PubMed Central - HTML - PubMed

Affiliation: Intensive Care Department, King Abdulaziz Medical City, Riyadh, Kingdom of Saudi Arabia. haddads55@yahoo.com

ABSTRACT
Traumatic brain injury (TBI) is a major medical and socio-economic problem, and is the leading cause of death in children and young adults. The critical care management of severe TBI is largely derived from the "Guidelines for the Management of Severe Traumatic Brain Injury" that have been published by the Brain Trauma Foundation. The main objectives are prevention and treatment of intracranial hypertension and secondary brain insults, preservation of cerebral perfusion pressure (CPP), and optimization of cerebral oxygenation. In this review, the critical care management of severe TBI will be discussed with focus on monitoring, avoidance and minimization of secondary brain insults, and optimization of cerebral oxygenation and CPP.

Show MeSH
Related in: MedlinePlus