Decompressive Surgery for Patients with Traumatic Brain Injury

Traumatic brain injury, which is a clinical spectrum, requires a thorough evaluation and strict monitoring for clinical deterioration owing to ongoing secondary injury and raised intracranial pressure. Once the intracranial pressure has been treated with maximal medical therapy, surgical decompressi...

Full description

Saved in:

Bibliographic Details
Published in:	Anesthesiology clinics Vol. 39; no. 1; pp. 163 - 178
Main Authors:	Peters, Austin, Kleinman, Gabriel
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-03-2021
Subjects:	Biomarkers Craniectomy Ketamine Steroids Traumatic brain injury Biomarkers Traumatic brain injury Ketamine Craniectomy Steroids
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	Traumatic brain injury, which is a clinical spectrum, requires a thorough evaluation and strict monitoring for clinical deterioration owing to ongoing secondary injury and raised intracranial pressure. Once the intracranial pressure has been treated with maximal medical therapy, surgical decompression is necessary and must be initiated rapidly. Anesthetic management of surgical decompression must balance reduction of the intracranial pressure, maintenance of cerebral perfusion pressures, avoidance of secondary injuries, and optimization of surgical conditions.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1
ISSN:	1932-2275 2210-3538
DOI:	10.1016/j.anclin.2020.11.003