Korean J Anesthesiol.
2018 Feb;71(1):12-21. 10.4097/kjae.2018.71.1.12.
Management of traumatic brain injury patients
- Affiliations
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- 1Department of Anesthesiology and Pain Medicine, Fortis Memorial Research Institute, Gurgaon, India. dr.harihardash@gmail.com
- 2Department of Neuroanesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India.
- KMID: 2402908
- DOI: http://doi.org/10.4097/kjae.2018.71.1.12
Abstract
- Traumatic brain injury (TBI) has been called the "˜silent epidemic' of modern times, and is the leading cause of mortality and morbidity in children and young adults in both developed and developing nations worldwide. In recent years, the treatment of TBI has undergone a paradigm shift. The management of severe TBI is ideally based on protocol-based guidelines provided by the Brain Trauma Foundation. The aims and objectives of its management are prophylaxis and prompt management of intracranial hypertension and secondary brain injury, maintenance of cerebral perfusion pressure, and ensuring adequate oxygen delivery to injured brain tissue. In this review, the authors discuss protocol-based approaches to the management of severe TBI as per recent guidelines.
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