J Neurointensive Care.  2022 Apr;5(1):1-8. 10.32587/jnic.2022.00486.

Intensive Care Unit Management of Traumatic Brain Injury Patients

• Konar S
• Maurya I
• Shukla DP
• Maurya VP
• Deivasigamani B
• Dikshit P
• Mishra R
• Agrawal A

• KMID: 2555058
• DOI: http://doi.org/10.32587/jnic.2022.00486

Abstract

Head injury or traumatic brain injury (TBI) is considered an instant epidemic in the developed world. Head injuries account for one quarter to a third of all trauma-related deaths. According to the Global Status Report on Road Safety 2018, more than 1.35 million people were killed in a single year. Out of these, 90% of the casualties occurred in developing countries, and India contributes about 11% of the total share. Until the last decade, cardiac disease, cancer, and road traffic accidents were considered the leading causes of death in our country. It is predicted that if the incidence of Road Traffic Accidents continues at the present rate, then by the end of 2025, the head injury will become the most common cause of death worldwide. The head injury patients pose a unique challenge to the treating physicians in the early period of hospitalization and the later duration of follow-up. The primary role of intensive care management is preventing and treating intracranial hypertension, which causes derangement in cerebral perfusion pressure (CPP), thereby preventing secondary brain injury. In the present review, we discuss the effective management of TBI in the critical care unit.

Keyword

Critical care unit; Cerebral edema; Hypoperfusion; Traumatic brain injury; Thromboembolic events