Fundamentals of Care for Severe Traumatic Brain Injury Induced Normality-The Battle to Restore Parameters in Critical Care Management

sTBI causes a range of physiologic abnormalities that may result in vulnerability to secondary injury. Managing sTBI is a constant battle against internal disruptions. Attempting to restore parameters to a more "normal" state during the critical days after injury should be the fundamental goal. This process requires diligent and close monitoring with thoughtful interventions. This review outlined general considerations in the neurocritical care management of sTBI, with attention to parameters-including BP, ICP, CPP, temperature, serum sodium, brain oxygen, and cerebral metabolism-that can affect outcome, either independently or in concert. Although sTBI may bring on a "new normal," early, optimized support for brain recovery can reap benefits in the long-term.