Management of Traumatic Brain Injury

被引:25
|
作者
Davanzo, Justin R. [1 ]
Sieg, Emily P. [1 ]
Timmons, Shelly D. [1 ]
机构
[1] Penn State Univ, Coll Med, Milton S Hershey Med Ctr, Dept Neurosurg, 30 Hope Dr,EC 110, Hershey, PA 17033 USA
关键词
Traumatic brain injury; Neurotrauma; Secondary injury; Intracranial monitoring; Intracranial pressure; Craniotomy; Craniectomy; Decompression; SEVERE HEAD-INJURY; VENOUS THROMBOEMBOLISM PROPHYLAXIS; BLUNT CEREBROVASCULAR INJURIES; INTRACRANIAL-PRESSURE; DECOMPRESSIVE CRANIECTOMY; ANTIPLATELET THERAPY; ENTERAL NUTRITION; CONTROLLED-TRIAL; MRC CRASH; HEMORRHAGE;
D O I
10.1016/j.suc.2017.08.001
中图分类号
R61 [外科手术学];
学科分类号
摘要
Traumatic brain injury remains a serious public health problem, causing death and disability for millions. To maximize outcomes in the face of a complex injury to a complex organ, a variety of advanced neuromonitoring techniques may be used to guide surgical and medical decision making. Because of the heterogeneity of injury types and the plethora of treatment confounders present in this patient population, the scientific study of specific interventions is challenging. This challenge highlights the need for a firm understanding of the anatomy and pathophysiology of brain injuries when making clinical decisions in the intensive care unit.
引用
收藏
页码:1237 / +
页数:19
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