Management of Traumatic Brain Injury: An Update

Mohamed H Abou El Fadl; Kristine H O'Phelan

doi:10.1016/j.nec.2017.11.002

Management of Traumatic Brain Injury: An Update

Neurosurg Clin N Am. 2018 Apr;29(2):213-221. doi: 10.1016/j.nec.2017.11.002.

Authors

Mohamed H Abou El Fadl¹, Kristine H O'Phelan²

Affiliations

¹ Neurocritical Care, Department of Neurology, University of Miami, Miller School of Medicine, 1120 Northwest 14th Street, Suite 1356, Miami, FL 33136, USA.
² Neurocritical Care, Department of Neurology, University of Miami, Miller School of Medicine, 1120 Northwest 14th Street, Suite 1356, Miami, FL 33136, USA. Electronic address: KOPhelan@med.miami.edu.

PMID: 29502712
DOI: 10.1016/j.nec.2017.11.002

Abstract

The care of patients with traumatic brain injury can be one of the most challenging and rewarding aspects of clinical neurocritical care. This article reviews the approach to unique aspects specific to the care of this patient population. These aspects include appropriate use of sedation and analgesia, and the principles and the clinical use of intracranial monitors. Common clinical challenges encountered in these patients are also discussed, including the treatment of intracranial hypertension, temperature management, and control of sympathetic hyperactivity.

Keywords: ICP; Informatics; Monitors; Multimodality; PSH; Sedation; TBI.

Publication types

Review

MeSH terms

Animals
Brain Injuries, Traumatic / physiopathology*
Brain Injuries, Traumatic / therapy*
Humans
Intracranial Hypertension / physiopathology*
Intracranial Pressure / physiology*
Monitoring, Physiologic / methods
Pain / etiology
Temperature